Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | ME 57627 | FL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | ME57627 | FL |
NPI | 1184687329 |
---|---|
Provider Name | Efrain H Gonzalez |
First Address | Miami, FL 33176-1217 |
Second Address | Miami, FL 33176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 12/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009322000 | (05) | FL |
F39239 | (02) | FL |