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
Fax: (305) 901-1716
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912231853 NPPES
Florida MEDICAID 015355500
Florida Other ME115255

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