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FANNY GONZALEZ M.D. NPI 1265642581


NPI Information

NPI: 1265642581
Provider Name: FANNY GONZALEZ, M.D.
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

Address:
2525 SW 3RD AVE
UNIT CU-1
MIAMI, FL
ZIP 33129
Phone: (305) 856-7005
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Fanny Gonzalez, M.D. is a pediatric nephrology pediatrics in Miami, FL. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Fanny Gonzalez, M.D. NPI is 1265642581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2525 SW 3RD AVE
UNIT CU-1
MIAMI, FL
ZIP 33129-056
Phone: (305) 856-7005
Fax: (305) 856-7533

The enumeration date for this NPI number is 5/23/2007 and was last updated on 7/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME106001FLORIDANo
22080P0210XPediatricsPediatric NephrologyME106001FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002182200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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