Individual provider · NPI-1
Christopher Luis Gonzalez Perera, RN, BSN
Registered Nurse, Gerontology · Hialeah, FL
NPI number1073108973
StatusActive
Last updated in NPPESMar 3, 2021
Details
- NPI
- 1073108973
- Entity type
- Individual (NPI-1)
- Name
- Mr. Christopher Luis Gonzalez Perera
- Credential
- RN, BSN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2021
- Certification date
- Mar 3, 2021
- Last updated
- Mar 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0600X | Registered Nurse, Gerontology | 9547263 | FL | Yes |
Practice location
557 W 45th PlHialeah, FL 33012-3862
Phone 305-458-0848
Mailing address
557 W 45th PlHialeah, FL 33012-3862
Phone 305-458-0848
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