MEDICARE: DR. HUGO GONZALEZ M.D.

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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME34604	FL
2	207RP1001X	Pulmonary Disease Physician	ME34604	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750377438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUGO GONZALEZ M.D.

Provider Business Mailing Address
First Line	:	8600 SW 92ND ST STE 204A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-7377
Country	:	US
Telephone Number	:	305-436-9933
Fax Number	:	305-436-9944

Provider Business Practice Location Address
First Line	:	2601 SW 37TH AVE STE 903
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2751
Country	:	US
Telephone Number	:	305-856-8669
Fax Number	:	305-856-8682

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	04/07/2021

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