JOSE MANUEL ROBERTI GONZALEZ

FRANKFORT, IL
NPI1831623644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Additional Taxonomies246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: IL  238.000556)
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: FL  17-212)
Enumeration Date2017-04-18
Last Update Date2022-08-18
Business Address
Dr. JOSE MANUEL ROBERTI GONZALEZ RSA/SA-C
21341 WINDY HILL DR
FRANKFORT, IL 60423-8621
Phone number: 786-252-2679
Mailing Address
Dr. JOSE MANUEL ROBERTI GONZALEZ RSA/SA-C
21341 WINDY HILL DR
FRANKFORT, IL 60423-8621
Phone number: 786-252-2679