Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME95057 | FL |
NPI | 1043353691 |
---|---|
Provider Name | Dr. German Gonzalez JR. |
First Address | Miami, FL 33156-7494 |
Second Address | Miami, FL 33156-7494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 16/11/2018 |