Provider Demographics
NPI:1093936908
Name:GONZALEZ, NOEMA M (RT (R) (CT))
Entity Type:Individual
Prefix:MS
First Name:NOEMA
Middle Name:M
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:RT (R) (CT)
Other - Prefix:
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Mailing Address - Street 1:15437 SW 71ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-2108
Mailing Address - Country:US
Mailing Address - Phone:305-387-9250
Mailing Address - Fax:305-223-4001
Practice Address - Street 1:9788 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7574
Practice Address - Country:US
Practice Address - Phone:305-387-9250
Practice Address - Fax:305-223-4001
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCRT604552471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography