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NPI Code Detail

MEDICARE: RAFAEL ANGEL GONZALEZ MD PA

MEDICARE: RAFAEL ANGEL GONZALEZ MD PA
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

General Provider Information

NPI Number : 1942029533
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAFAEL ANGEL GONZALEZ MD PA
Provider Business Mailing Address
First Line : 7150 W 20TH AVE STE 412E
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5533
Country : US
Telephone Number : 786-894-6513
Fax Number : 305-702-9442
Provider Business Practice Location Address
First Line : 7150 W 20TH AVE STE 615
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5511
Country : US
Telephone Number : 305-702-9441
Fax Number : 305-702-9442
Authorized Official
Title or Position : PHYSICIAN
Name : DR. RAFAEL A GONZALEZ
Credential : MD PA
Telephone Number : 786-894-6513
Provider Enumeration Date : 10/09/2024
Last Update Date : 07/25/2025

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