Gonzalez, Guillermo

Gonzalez, Guillermo is an individual health care provider with primary practice located at 1037 Ne Pine Island Ln , Cape Coral FL 33909-2176. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Gonzalez, Guillermo can be contacted via phone (305) 680-6865.

Contact Information

Primary practice address
1037 Ne Pine Island Ln Cape Coral FL 33909-2176
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 17-085-4043 Colorado

Profile Details

NPI number 1780293068
LBN Legal business name Gonzalez, Guillermo
Credentials CORP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2020
Last updated Jul 23rd, 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 1780293068 NPPES
Colorado MEDICAID 17-085-4043

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