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NPI Code Detail

MEDICARE: MIGUEL A GONZALEZ MD

MEDICARE:   MIGUEL A GONZALEZ  MD
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
1208M00000XHospitalist Physician9622NV
2207R00000XInternal Medicine Physician9622NV

General Provider Information

NPI Number : 1376525352
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIGUEL A GONZALEZ MD
Provider Business Mailing Address
First Line : 9030 W SAHARA AVE # 260
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5744
Country : US
Telephone Number : 702-321-5293
Fax Number : 702-463-1507
Provider Business Practice Location Address
First Line : 9030 W SAHARA AVE # 260
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5744
Country : US
Telephone Number : 702-321-5293
Fax Number : 702-463-1507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 02/09/2019

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Directions to “ MIGUEL A GONZALEZ MD” Practice Location

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