Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125.068306 | IL |
N | 111NI0900X | Internist | 125.068306 | IL |
Y | 207RH0003X | Hematology & Oncology | 65266 | MN |
NPI | 1033562327 |
---|---|
Provider Name | Xavier Alberto Andrade-Gonzalez |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2016 |
Last Update Date | 05/08/2020 |