The G General Serv, Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME17907 Issued in FL

Legal business name

THE G GENERAL SERV, INC

Practice address

2140 W Flagler St Ste 209
Miami, FL 33135-1642

Phone

(305) 541-8770

NPI assigned

Nov 7, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Manuel Fernandez Gonzalez, M.D.

Title

Medical Doctor

Phone

(786) 261-6935

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1295164481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W FLAGLER ST STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351642",
            "telephone_number": "305-541-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W FLAGLER ST STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351642",
            "telephone_number": "305-541-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE G GENERAL SERV, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ GONZALEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "786-261-6935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME17907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "ME17907",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.