Provider Demographics
NPI:1013099969
Name:GONZALEZ, HECTOR PABLO (PHD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:PABLO
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 S.W. 92ND ST.
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156
Mailing Address - Country:US
Mailing Address - Phone:305-274-7053
Mailing Address - Fax:305-274-5114
Practice Address - Street 1:8600 SW 92ND ST.
Practice Address - Street 2:SUITE 106
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156
Practice Address - Country:US
Practice Address - Phone:305-274-7053
Practice Address - Fax:305-274-5114
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0002996103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical