Provider Type Icon

BLANCA NELIDA GONZALEZ MD PA NPI 1558632646


NPI Information

NPI: 1558632646
Provider Name: BLANCA NELIDA GONZALEZ MD PA
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2154171

Address:
1435 W 49TH PL STE 701
HIALEAH, FL
ZIP 33012
Phone: (786) 218-7863
Get Directions

BLANCA NELIDA GONZALEZ MD PA is a general practice in Hialeah, FL. BLANCA NELIDA GONZALEZ MD PA NPI is 1558632646. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1435 W 49TH PL STE 701
HIALEAH, FL
ZIP 33012-158
Phone: (786) 218-7863
Fax: (866) 557-6953

The provider's authorized official is Blanca N Gonzalez .
The authorized official title is Owner and has the following contact phone number (786) 218-7863.

The CLIA number assigned to this NPI record is 10D2154171 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2012 and was last updated on 12/28/2020.


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
1208D00000XGeneral PracticeME106369FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.