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NPI Code Detail

MEDICARE: DR. YANEICY GONZALEZ ROJAS MD

MEDICARE: DR. YANEICY GONZALEZ ROJAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianME118820FL
2207R00000XInternal Medicine PhysicianME118820FL

General Provider Information

NPI Number : 1639300304
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YANEICY GONZALEZ ROJAS MD
Provider Business Mailing Address
First Line : 3900 W FLAGLER ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1608
Country : US
Telephone Number : 305-702-0024
Fax Number : 305-702-0024
Provider Business Practice Location Address
First Line : 3900 W FLAGLER ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1608
Country : US
Telephone Number : 305-702-0024
Fax Number : 305-702-0024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2009
Last Update Date : 01/25/2017

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