Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY0002996 | FL |
Y | 103TC0700X | Clinical Psychologist | PY0002996 | FL |
NPI | 1013099969 |
---|---|
Provider Name | Dr. Hector Pablo Gonzalez |
First Address | Miami, FL 33156 |
Second Address | Miami, FL 33156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 13/07/2007 |