MEDICARE: DR. BRENDA 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
1	207RP1001X	Pulmonary Disease Physician	ME67735	FL
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	ME67735	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	:	1639165319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENDA GONZALEZ

Provider Business Mailing Address
First Line	:	8600 SW 92ND ST STE 204A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-7377
Country	:	US
Telephone Number	:	305-436-9933
Fax Number	:	305-436-9944

Provider Business Practice Location Address
First Line	:	5000 UNIVERSITY DR STE 2200
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2008
Country	:	US
Telephone Number	:	305-779-7381
Fax Number	:	305-779-7382

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	02/14/2023

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Directions to “ DR. BRENDA GONZALEZ ” Practice Location

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