Valdivia, Gonzalo G
Valdivia, Gonzalo G is an individual health care provider with primary practice located at 1421 Malabar Rd Ne Ste 200, Palm Bay FL 32907-2576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Valdivia, Gonzalo G can be contacted via phone (321) 308-2660.Contact Information
Primary practice address
1421 Malabar Rd Ne Ste 200
Palm Bay FL 32907-2576
Phone: (321) 308-2660
Fax: (321) 984-9303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME81813 | Florida |
Profile Details
| NPI number | 1669446480 |
|---|---|
| LBN Legal business name | Valdivia, Gonzalo G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Aug 19th, 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 | 1669446480 | NPPES |
| Florida | Other | P00037101 | MEDICARE RAILROAD |
| Florida | MEDICAID | 114495500 | MEDICARE RAILROAD |
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