MEDICARE: DR. ALBA MARIA GONZALEZ-OCHOA 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
1	207RN0300X	Nephrology Physician	ME112188	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376752816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBA MARIA GONZALEZ-OCHOA MD

Provider Business Mailing Address
First Line	:	1881 WASHINGTON AVE APT 6D
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-7412
Country	:	US
Telephone Number	:	305-467-5995
Fax Number	:

Provider Business Practice Location Address
First Line	:	219 NW 12TH AVE STE C4
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33128-2205
Country	:	US
Telephone Number	:	305-585-5210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	08/22/2012

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