Gongora, Enrique

Gongora, Enrique is an individual health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gongora, Enrique can be contacted via phone (205) 934-4011.

Contact Information

Primary practice address
619 19Th St S Birmingham AL 35249
Fax:
Website:

Health care specialties

Profile Details

NPI number 1891704128
LBN Legal business name Gongora, Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 1st, 2024 - about 7 months 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 1891704128 NPPES
Florida MEDICAID 010220700

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