Provider Demographics
NPI:1376861989
Name:GONZALEZ GARCIA, ZOE MILAGROS (MD)
Entity type:Individual
Prefix:DR
First Name:ZOE
Middle Name:MILAGROS
Last Name:GONZALEZ GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZOE
Other - Middle Name:MILAGROS
Other - Last Name:GONZALEZ-GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8200 DODGE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4113
Mailing Address - Country:US
Mailing Address - Phone:024-955-3871
Mailing Address - Fax:402-955-8738
Practice Address - Street 1:8200 DODGE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4113
Practice Address - Country:US
Practice Address - Phone:024-955-3871
Practice Address - Fax:402-955-8738
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE304002080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric EndocrinologyGroup - Single Specialty