| NPI | 1043577760 |
|---|---|
| Former Legal Business Name | GONZALES'S MEDICAL CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | JOSE JAVIER GONZALEZ Owner 305-818-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2017-06-21 |