Carlos A Gonzalez, CAA
Anesthesiologist Assistant in Merrillville, IN. Individual provider (NPI-1).
NPI number1245039635
StatusActive
Last updated in NPPESMar 10, 2025
Details
- NPI
- 1245039635
- Entity type
- Individual (NPI-1)
- Name
- Carlos A Gonzalez
- Credential
- CAA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2025
- Certification date
- Mar 10, 2025
- Last updated
- Mar 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 75000207 | IN | Yes |
Practice location
8701 BroadwayMerrillville, IN 46410-7035
Phone 219-738-5500
Mailing address
730 S Clark St Apt 903Chicago, IL 60605-1745
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