Healthcare Provider Details

I. General information

NPI: 1336059294
Provider Name (Legal Business Name): DR. ANDRES FELIPE GONZALEZ PEREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 6TH AVE S
BIRMINGHAM AL
35233-1932
US

IV. Provider business mailing address

119 9TH AVE NW
ROCHESTER MN
55901-2708
US

V. Phone/Fax

Practice location:
  • Phone: 205-716-8853
  • Fax:
Mailing address:
  • Phone: 205-716-8853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberL.7068
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: