Gonzalez, Susana
Gonzalez, Susana is an sole proprietor health care provider with primary practice located at 1225 Alton Rd , Miami Beach FL 33139-3809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Gonzalez, Susana can be contacted via phone (305) 532-8355.Contact Information
Primary practice address
1225 Alton Rd
Miami Beach FL 33139-3809
Phone: (305) 532-8355
Fax: (305) 532-9675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME0052209 | Florida |
Profile Details
| NPI number | 1063436004 |
|---|---|
| LBN Legal business name | Gonzalez, Susana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Nov 6th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063436004 | NPPES |
| Florida | MEDICAID | 048427000 | |
| Florida | Other | 08213 |
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