Gonzalez, Jorge M.

Gonzalez, Jorge M. is an individual health care provider with primary practice located at 2416 W 60Th St , Hialeah Gardens FL 33016. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Gonzalez, Jorge M. can be contacted via phone (305) 823-3312.

Contact Information

Primary practice address
2416 W 60Th St Hialeah Gardens FL 33016
Phone: (305) 823-3312
Fax: (305) 884-3989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9347145 Florida

Profile Details

NPI number 1982648085
LBN Legal business name Gonzalez, Jorge M.
Credentials BS, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Nov 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982648085 NPPES
Florida MEDICAID 764912600

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