Healthcare Provider Details

I. General information

NPI: 1245892983
Provider Name (Legal Business Name): VALERIA JEANNETTE GONZALEZ-MOLINA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 PONCE DE LEON BLVD STE 200
CORAL GABLES FL
33146-1871
US

IV. Provider business mailing address

4250 SALZEDO ST
CORAL GABLES FL
33146-1452
US

V. Phone/Fax

Practice location:
  • Phone: 305-443-6606
  • Fax:
Mailing address:
  • Phone: 787-438-9657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberME180742
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberT4169
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: