| Eduardo Gonzalez-hernandez MD PLLC | |
|
401 Sw 42nd Ave Suite 200 Miami FL 33134-1938 | |
| (786) 270-3914 | |
| (786) 270-3986 |
| Full Name | Eduardo Gonzalez-hernandez MD PLLC |
|---|---|
| Speciality | Specialist |
| Location | 401 Sw 42nd Ave, Miami, Florida |
| Authorized Official Name and Position | Eduardo Gonzalez-hernandez (MANAGING PARTNER) |
| Authorized Official Contact | 7862703914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo Gonzalez-hernandez MD PLLC 401 Sw 42nd Ave Suite 200 Miami FL 33134-1938 Ph: (786) 270-3914 | Eduardo Gonzalez-hernandez MD PLLC 401 Sw 42nd Ave Suite 200 Miami FL 33134-1938 Ph: (786) 270-3914 |
| NPI Number | 1790910982 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Medicare PECOS PAC ID | 7517010135 |
|---|---|
| Medicare Enrollment ID | O20090729000911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790910982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (NU) | Secondary |
| 174400000X | Specialist | (NU) | Primary |
| Provider Name | Eduardo Gonzalez Hernandez |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578515532 PECOS PAC ID: 1557305547 Enrollment ID: I20050613000091 |
| Provider Name | Jorge a Guerrero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811108491 PECOS PAC ID: 4880602481 Enrollment ID: I20080313000650 |
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