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NPI Code Detail

MEDICARE: YAINEL GONZALEZ PHARMD

MEDICARE: YAINEL GONZALEZ PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS51145FL

General Provider Information

NPI Number : 1033544051
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAINEL GONZALEZ PHARMD
Provider Business Mailing Address
First Line : 6800 W 28TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33018-5305
Country : US
Telephone Number : 305-828-0268
Fax Number :
Provider Business Practice Location Address
First Line : 6800 W 28TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33018-5305
Country : US
Telephone Number : 305-828-0268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2013
Last Update Date : 09/10/2013

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Directions to “ YAINEL GONZALEZ PHARMD” Practice Location

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