Provider Demographics
NPI:1083283717
Name:GONZALEZ FERNANDEZ, EDUARDO ABRAHAM (MD, MS)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:ABRAHAM
Last Name:GONZALEZ FERNANDEZ
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:983075 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-3075
Mailing Address - Country:US
Mailing Address - Phone:402-559-5641
Mailing Address - Fax:402-559-6501
Practice Address - Street 1:983075 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-3075
Practice Address - Country:US
Practice Address - Phone:402-559-5641
Practice Address - Fax:402-559-6501
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2024-03-25
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Provider Licenses
StateLicense IDTaxonomies
TXU6490207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine