Ebran-Gonzalez, Raul
Ebran-Gonzalez, Raul is an sole proprietor health care provider with primary practice located at 8504 Nw 103Rd St , Hialeah Gardens FL 33016-4870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ebran-Gonzalez, Raul can be contacted via phone (786) 420-5111.Contact Information
Primary practice address
8504 Nw 103Rd St
Hialeah Gardens FL 33016-4870
Phone: (786) 420-5111
Fax: (305) 901-1716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME115255 | Florida |
Profile Details
| NPI number | 1912231853 |
|---|---|
| LBN Legal business name | Ebran-Gonzalez, Raul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2009 |
| Last updated | Jul 1st, 2020 - 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 | 1912231853 | NPPES |
| Florida | MEDICAID | 015355500 | |
| Florida | Other | ME115255 |
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