Gonzalez, Jose M

Gonzalez, Jose M is an sole proprietor health care provider with primary practice located at 3601 Federal Hwy , Miami FL 33137-3795. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gonzalez, Jose M can be contacted via phone (305) 567-6611.

Contact Information

Primary practice address
3601 Federal Hwy Miami FL 33137-3795
Phone: (305) 567-6611
Fax: (305) 576-0008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME68684 Florida
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X ME68684 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME68684 Florida

Profile Details

NPI number 1376557454
LBN Legal business name Gonzalez, Jose M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Nov 17th, 2017 - about 7 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 1376557454 NPPES
Florida Other 27701S MEDICARE
Florida MEDICAID 379235800 MEDICARE

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