Provider Demographics
NPI:1932698305
Name:GONZALEZ, FILIBERTO ALEX (AUD)
Entity Type:Individual
Prefix:
First Name:FILIBERTO
Middle Name:ALEX
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7110 PATTERSON AVE STE E
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6755
Mailing Address - Country:US
Mailing Address - Phone:804-358-7992
Mailing Address - Fax:804-358-8606
Practice Address - Street 1:7110 PATTERSON AVE STE E
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-6755
Practice Address - Country:US
Practice Address - Phone:804-358-7992
Practice Address - Fax:804-358-8606
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000861231H00000X
VA2201001811231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist