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Contact Information

ADALBERTO C. GONZALEZ, M.D., PROF. CORP.
5333 N 7TH ST
SUITE B219
PHOENIX, AZ85014-2821
 Phone: 602-881-5430
 Fax: 623-399-8606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for ADALBERTO C. GONZALEZ, M.D., PROF. CORP.

NPI # 1326328725
LBN Legal business name ADALBERTO C. GONZALEZ, M.D., PROF. CORP.
Authorized official ADALBERTO GONZALEZ - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2011
Last updated 08/17/2011 - About 15 years ago
Identifiers
AZ License # 12521
AZ Other 12521 AZ LICENSE #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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