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General NPI Number Information
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NPI Number | 1114449022
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Entity Type | Individual
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Provider Name | JAVIER ALEJANDRO GONZALEZ COSME MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 5040 NW 7TH ST STE 635
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City | MIAMI
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State | FL
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Zip | 33126-3796
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Country | US
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Telephone | 305-644-2212
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Fax | 786-475-7787
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Provider Business Mailing Address
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Address Line | 3170 CORAL WAY #1803
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City | MIAMI
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State | FL
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Zip | 33145-3363
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Country | US
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Telephone | 787-454-4408
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 22156
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME156003
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License Number State | FL
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