Gonzalez, Mercedes E

Gonzalez, Mercedes E is an sole proprietor health care provider with primary practice located at 4308 Alton Rd Suite 750, Miami Beach FL 33140-4556. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Gonzalez, Mercedes E can be contacted via phone (917) 309-3214.

Contact Information

Primary practice address
4308 Alton Rd Suite 750 Miami Beach FL 33140-4556
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X ME99998 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME99998 Florida

Profile Details

NPI number 1750563243
LBN Legal business name Gonzalez, Mercedes E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2007
Last updated Apr 17th, 2023 - about last year

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 1750563243 NPPES
Florida MEDICAID 280141800

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