| J. Gonzalez-barrera, N.p., P.a. | |
|
11930 N Bayshore Dr Ste 1008 North Miami FL 33181-2926 | |
| (305) 895-7519 | |
| (305) 895-7520 |
| Full Name | J. Gonzalez-barrera, N.p., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 11930 N Bayshore Dr Ste 1008, North Miami, Florida |
| Authorized Official Name and Position | Jorge Gonzalez-barrera (PRESIDENT) |
| Authorized Official Contact | 3058957519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Gonzalez-barrera, N.p., P.a. 11930 N Bayshore Dr Ste 1008 North Miami FL 33181-2926 Ph: (305) 895-7519 | J. Gonzalez-barrera, N.p., P.a. 11930 N Bayshore Dr Ste 1008 North Miami FL 33181-2926 Ph: (305) 895-7519 |
| NPI Number | 1063008456 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 7113336256 |
|---|---|
| Medicare Enrollment ID | O20210503000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063008456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jorge Gonzalez-barrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295219244 PECOS PAC ID: 2264788207 Enrollment ID: I20190208001884 |
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