Edelio Gonzalez Dmd, Pa

LBN: Edelio Gonzalez Dmd, Pa
Edelio Gonzalez Dmd, Pa is an health care organization with primary practice located at 1191 W 37Th St 5, Hialeah FL 33012-4941. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Edelio Gonzalez Dmd, Pa can be contacted via phone (305) 826-9642, or through Gonzalez, Edelio via phone (305) 826-9642.

Contact Information

Primary practice address
1191 W 37Th St 5 Hialeah FL 33012-4941
Phone: (305) 826-9642
Fax: (305) 819-8014
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Edelio Doctor of Dental Medicine (DMD)
Phone: (305) 826-9642

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN00013074 Florida

Profile Details

NPI number 1871684183
LBN Legal business name Edelio Gonzalez Dmd, Pa
DBA Doing business as
Authorized official Gonzalez, Edelio Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871684183 NPPES
Florida MEDICAID 0171853000

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