Gonzalez, Gerardo Sixto

Gonzalez, Gerardo Sixto is an individual health care provider with primary practice located at 239 Mitylene Park Dr , Montgomery AL 36117-3547. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Gonzalez, Gerardo Sixto can be contacted via phone (334) 612-2111.

Contact Information

Primary practice address
239 Mitylene Park Dr Montgomery AL 36117-3547
Phone: (334) 612-2111
Fax: (334) 612-2166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15036R Louisiana
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 28151 Alabama

Profile Details

NPI number 1245206804
LBN Legal business name Gonzalez, Gerardo Sixto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Dec 4th, 2014 - about 11 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 1245206804 NPPES
Alabama MEDICAID 009998874

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