| Susana Gonzalez, M.d., P.a. | |
|
1225 Alton Road Miami Beach FL 33139 | |
| (305) 532-8355 | |
| (305) 532-9675 |
| Full Name | Susana Gonzalez, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1225 Alton Road, Miami Beach, Florida |
| Authorized Official Name and Position | Esther Encinosa (DIRECTOR) |
| Authorized Official Contact | 3055328355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susana Gonzalez, M.d., P.a. 1225 Alton Road Miami Beach FL 33139 Ph: (305) 532-8355 | Susana Gonzalez, M.d., P.a. 1225 Alton Road Miami Beach FL 33139 Ph: (305) 532-8355 |
| NPI Number | 1396151809 |
|---|---|
| Provider Enumeration Date | 07/03/2014 |
| Last Update Date | 05/03/2016 |
| Medicare PECOS PAC ID | 8628294154 |
|---|---|
| Medicare Enrollment ID | O20140718001309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396151809 | NPI | - | NPPES |
| 048427000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME0052209 (Florida) | Primary |
| Provider Name | Susana Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063436004 PECOS PAC ID: 4587607916 Enrollment ID: I20050607000747 |
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