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General NPI Number Information
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NPI Number | 1174906861
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Entity Type | Individual
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Provider Name | SAUL NICOLAS GONZALEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 160 NW 170TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-5576
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Country | US
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Telephone | 305-651-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 10360 NW 76TH TER
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City | DORAL
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State | FL
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Zip | 33178-4076
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Country | US
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Telephone | 787-467-6746
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 31606R
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME137201
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License Number State | FL
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