Gonzalez & Alcocer Llc | |
9580 Sw 107th Ave Ste 102 Miami FL 33176-2792 | |
(305) 596-4440 | |
Not Available |
Full Name | Gonzalez & Alcocer Llc |
---|---|
Speciality | Internal Medicine |
Location | 9580 Sw 107th Ave Ste 102, Miami, Florida |
Authorized Official Name and Position | Daniel Gonzalez (PRESIDENT) |
Authorized Official Contact | 3055964440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gonzalez & Alcocer Llc 9580 Sw 107th Ave Ste 102 Miami FL 33176-2792 Ph: (305) 596-4440 | Gonzalez & Alcocer Llc 9580 Sw 107th Ave Ste 102 Miami FL 33176-2792 Ph: (305) 596-4440 |
NPI Number | 1295510360 |
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Provider Enumeration Date | 08/28/2023 |
Last Update Date | 08/28/2023 |
Medicare PECOS PAC ID | 3274997606 |
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Medicare Enrollment ID | O20230918002886 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295510360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel Jose Gonzalez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205324340 PECOS PAC ID: 3173902954 Enrollment ID: I20220624001645 |
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