Gonzalez, Nelson
Gonzalez, Nelson is an sole proprietor health care provider with primary practice located at 11045 Sw 216 St , Miami FL 33170. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Gonzalez, Nelson can be contacted via phone (786) 429-1639.Contact Information
Primary practice address
11045 Sw 216 St
Miami FL 33170
Phone: (786) 429-1639
Fax: (786) 883-0900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME101417 | Florida |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ME101417 | Florida |
Profile Details
| NPI number | 1578759197 |
|---|---|
| LBN Legal business name | Gonzalez, Nelson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2007 |
| Last updated | Dec 13th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578759197 | NPPES |
| Florida | MEDICAID | 110070100 |
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