Gonzalez, Wilfredo
Gonzalez, Wilfredo is an sole proprietor health care provider with primary practice located at 9851 Nw 58Th St Unit 109 , Doral FL 33178-2717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzalez, Wilfredo can be contacted via phone (305) 470-9002.Contact Information
Primary practice address
9851 Nw 58Th St Unit 109
Doral FL 33178-2717
Phone: (305) 470-9002
Fax: (305) 470-9934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME50720 | Florida |
Profile Details
| NPI number | 1518074558 |
|---|---|
| LBN Legal business name | Gonzalez, Wilfredo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Oct 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518074558 | NPPES |
| Florida | MEDICAID | 047277800 | |
| Florida | MEDICAID | 047277802 |
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