Individual provider · NPI-1

Iris Gonzalez

Technician/Technologist, Optician · Coral Gables, FL

NPI number1477855799
StatusActive
Last updated in NPPESNov 18, 2010

Details

NPI
1477855799
Entity type
Individual (NPI-1)
Name
Iris Gonzalez
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 18, 2010
Last updated
Nov 18, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianDO5820FLYes

Practice location

225 Miracle Mile
Coral Gables, FL 33134-5907

Phone 305-442-4747 · Fax 305-442-4646

Mailing address

225 Miracle Mile
Coral Gables, FL 33134-5907

Phone 305-442-4747 · Fax 305-442-4646

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