| Provider / Organization | NPI | Date Certified |
|---|---|---|
| OSCAR MENDOZA GONZALEZ | 1508587064 | 2022-10-01 |
Oscar Mendoza Gonzalez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508587064. Registration indicates Oscar Mendoza Gonzalez is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Oscar Mendoza Gonzalez PA-C |
| Practice Office Address | 8875 NW 23RD ST DORAL, FL US |
| Practice Office Telephone | 3056535155 |
| Mailing Address | 4783 E 9TH CT HIALEAH, FL 330132025 US |
| Business Telephone | 7862576793 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA9116344
FL |