Roberti Gonzalez, Jose Manuel

Roberti Gonzalez, Jose Manuel is an sole proprietor health care provider with primary practice located at 21341 Windy Hill Dr , Frankfort IL 60423-8621. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Roberti Gonzalez, Jose Manuel can be contacted via phone (786) 252-2679.

Contact Information

Primary practice address
21341 Windy Hill Dr Frankfort IL 60423-8621
Phone: (786) 252-2679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 238.000556 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 17-212 Florida

Profile Details

NPI number 1831623644
LBN Legal business name Roberti Gonzalez, Jose Manuel
Credentials RSA/SA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2017
Last updated Aug 18th, 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 1831623644 NPPES
Illinois Other 238.000556 IDFPR

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