| Miguel Gonzales M D Prof Corp | |
|
9030 W Sahara Ave # 260 Las Vegas NV 89117-5744 | |
| (702) 321-5293 | |
| (702) 463-1507 |
| Full Name | Miguel Gonzales M D Prof Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 9030 W Sahara Ave # 260, Las Vegas, Nevada |
| Authorized Official Name and Position | Miguel A Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7022333191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel Gonzales M D Prof Corp 9030 W Sahara Ave # 260 Las Vegas NV 89117-5744 Ph: (702) 321-5293 | Miguel Gonzales M D Prof Corp 9030 W Sahara Ave # 260 Las Vegas NV 89117-5744 Ph: (702) 321-5293 |
| NPI Number | 1053464602 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 06/23/2010 |
| Medicare PECOS PAC ID | 7113904566 |
|---|---|
| Medicare Enrollment ID | O20040702000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053464602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Miguel A Gonzalez Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376525352 PECOS PAC ID: 9335136555 Enrollment ID: I20040429000317 |
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