Gonzalez, Wilfredo

Gonzalez, Wilfredo is an sole proprietor health care provider with primary practice located at 9851 Nw 58Th St Unit 109 , Doral FL 33178-2717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzalez, Wilfredo can be contacted via phone (305) 470-9002.

Contact Information

Primary practice address
9851 Nw 58Th St Unit 109 Doral FL 33178-2717
Phone: (305) 470-9002
Fax: (305) 470-9934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME50720 Florida

Profile Details

NPI number 1518074558
LBN Legal business name Gonzalez, Wilfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Oct 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518074558 NPPES
Florida MEDICAID 047277800
Florida MEDICAID 047277802

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