Provider Demographics
NPI:1164419545
Name:GONZALEZ-ARIAS, SERGIO M (MD, PHD, FAANS, FACS)
Entity Type:Individual
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First Name:SERGIO
Middle Name:M
Last Name:GONZALEZ-ARIAS
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Gender:M
Credentials:MD, PHD, FAANS, FACS
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Mailing Address - Street 1:8950 N KENDALL DR
Mailing Address - Street 2:SUITE 407W
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2148
Mailing Address - Country:US
Mailing Address - Phone:305-271-6159
Mailing Address - Fax:786-533-9989
Practice Address - Street 1:8950 N KENDALL DR
Practice Address - Street 2:SUITE 407W
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2144
Practice Address - Country:US
Practice Address - Phone:305-271-6159
Practice Address - Fax:786-533-9989
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2012-07-23
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Provider Licenses
StateLicense IDTaxonomies
FLME45644207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL204468OtherAVMED
FL96699OtherBLUE CROSS BLUE SHIELD
FLE16936Medicare UPIN
FL96699ZMedicare PIN