Adalberto C. Gonzalez, M.D., Prof. Corp.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

12521 Issued in AZ

Legal business name

ADALBERTO C. GONZALEZ, M.D., PROF. CORP.

Practice address

5333 N 7TH St
Suite B219
Phoenix, AZ 85014-2821

Phone

(602) 881-5430

Fax

(623) 399-8606

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Adalberto C Gonzalez, MD

Title

Ceo

Phone

(623) 399-8606

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1326328725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 E CAMELBACK RD",
            "address_2": "#833",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182307",
            "telephone_number": "602-881-5430",
            "fax_number": "623-399-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N 7TH ST",
            "address_2": "SUITE B219",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142821",
            "telephone_number": "602-881-5430",
            "fax_number": "623-399-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADALBERTO C. GONZALEZ, M.D., PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ADALBERTO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-399-8606",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "12521",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "12521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE #",
            "identifier": "12521",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.