| Gonzalez-romo Manny Md Pa | |
|
15921 Sw 254th St Homestead FL 33031-2045 | |
| (305) 781-9881 | |
| Not Available |
| Full Name | Gonzalez-romo Manny Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 15921 Sw 254th St, Homestead, Florida |
| Authorized Official Name and Position | Manuel M Gonzalez (OWNER) |
| Authorized Official Contact | 3057819881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzalez-romo Manny Md Pa 15921 Sw 254th St Homestead FL 33031-2045 Ph: (305) 781-9881 | Gonzalez-romo Manny Md Pa 15921 Sw 254th St Homestead FL 33031-2045 Ph: (305) 781-9881 |
| NPI Number | 1548977036 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 09/07/2023 |
| Medicare PECOS PAC ID | 7810361441 |
|---|---|
| Medicare Enrollment ID | O20240622000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548977036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manuel M Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740226190 PECOS PAC ID: 0042271991 Enrollment ID: I20041023000066 |
| Provider Name | Taymi Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386238897 PECOS PAC ID: 0840665022 Enrollment ID: I20230403000266 |
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