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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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 1063436004 NPPES
Florida MEDICAID 048427000
Florida Other 08213

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