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1487496451 NPI number — JOEL D GONZALEZ PA-C

NPI Number: 1487496451
Health Care Provider/Practitioner: JOEL D GONZALEZ PA-C

Information about “1487496451” NPI (JOEL D GONZALEZ PA-C) exists in 1487496451 in HTML format HTML  |  1487496451 in plain Text format TXT  |  1487496451 in PDF (Portable Document Format) PDF  |  1487496451 in an XML format XML  formats.

NPI Number : 1487496451 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487496451",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GONZALEZ",
    "FirstName": "JOEL",
    "MiddleName": "D",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2001 W 68TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIALEAH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33016-1801",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-860-6004",
    "MailingAddressFaxNumber": "305-441-9342",
    "FirstLinePracticeLocationAddress": "7100 W 20TH AVE STE G176",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HIALEAH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33016-1875",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-475-1985",
    "PracticeLocationAddressFaxNumber": "786-475-2854",
    "EnumerationDate": "06/11/2024",
    "LastUpdateDate": "08/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AS0400X",
        "TaxonomyName": "Surgical Physician Assistant",
        "LicenseNumber": "PA9119315",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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