Provider Demographics
NPI:1346553294
Name:GONZALEZ QUIROS, HERNANDO J (MD)
Entity Type:Individual
Prefix:
First Name:HERNANDO
Middle Name:J
Last Name:GONZALEZ QUIROS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4306 ALTON RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2840
Mailing Address - Country:US
Mailing Address - Phone:305-535-3349
Mailing Address - Fax:305-535-3438
Practice Address - Street 1:4300 ALTON RD STE 2522
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2948
Practice Address - Country:US
Practice Address - Phone:305-674-2240
Practice Address - Fax:305-674-3961
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN104936207RG0100X
FLME151469207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology