Gonzalez Valles, Alexis Roberto

Gonzalez Valles, Alexis Roberto is an individual health care provider with primary practice located at 1931 S Narcoossee Rd , Saint Cloud FL 34771-7211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Gonzalez Valles, Alexis Roberto can be contacted via phone (407) 986-9642.

Contact Information

Primary practice address
1931 S Narcoossee Rd Saint Cloud FL 34771-7211
Phone: (407) 986-9642
Fax: (407) 593-6102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ACN1234 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 21503 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN1234 Florida

Profile Details

NPI number 1407409386
LBN Legal business name Gonzalez Valles, Alexis Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2019
Last updated Jul 28th, 2025 - about last year

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 1407409386 NPPES
Florida MEDICAID 107646400
Florida Other FG8609503

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