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NPI Code Detail

MEDICARE: DANIEL GONZALEZ

MEDICARE: DANIEL GONZALEZ
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
1207ZD0900XDermatopathology (Pathology) PhysicianA186364CA
2207ZD0900XDermatopathology (Pathology) Physician6061870ID
3207ZD0900XDermatopathology (Pathology) PhysicianME153559FL
4207ZD0900XDermatopathology (Pathology) Physician349189LA

General Provider Information

NPI Number : 1336672716
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL GONZALEZ
Provider Business Mailing Address
First Line : 2148 W 54TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-2032
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4665 PONCE DE LEON BLVD
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-2101
Country : US
Telephone Number : 786-464-0749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 12/09/2025

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Directions to “ DANIEL GONZALEZ ” Practice Location

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