Gonzalez, Rafael Eugenio

Gonzalez, Rafael Eugenio is an individual health care provider with primary practice located at 3100 Sw 62 Avenue , Miami FL 33255. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gonzalez, Rafael Eugenio can be contacted via phone (305) 663-8409.

Contact Information

Primary practice address
3100 Sw 62 Avenue Miami FL 33255
Fax: (305) 663-8573
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME54893 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME54893 Florida

Profile Details

NPI number 1891872909
LBN Legal business name Gonzalez, Rafael Eugenio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 1st, 2022 - about 2 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 1891872909 NPPES
Florida MEDICAID 036086400

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