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General NPI Number Information
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NPI Number | 1427635119
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Entity Type | Individual
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Provider Name | MANUEL GONZALEZ CRUZ MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2021
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 4300 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2948
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Country | US
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Telephone | 786-437-0390
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Fax |
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Provider Business Mailing Address
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Address Line | 15030 DUNBARTON PL
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1417
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Country | US
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Telephone | 305-439-7033
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME163644
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License Number State | FL
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