Gonzalez, Jose A

Gonzalez, Jose A is an sole proprietor health care provider with primary practice located at 1340 W 68Th St , Hialeah FL 33014-4526. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Gonzalez, Jose A can be contacted via phone (305) 556-7245.

Contact Information

Primary practice address
1340 W 68Th St Hialeah FL 33014-4526
Fax: (305) 558-9426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME0055443 Florida

Profile Details

NPI number 1184697732
LBN Legal business name Gonzalez, Jose A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Sep 25th, 2013 - 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 1184697732 NPPES
Florida MEDICAID 061413100

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