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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GONZALO J IRAVEDRA PA

Active Organization

GONZALO J IRAVEDRA PA is a Internal Medicine organization located in PEMBROKE PINES, Florida. NPI 1215941596 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · PEMBROKE PINES, FL

Registration Details

NPI Number
1215941596
Provider Type
Organization
NPI Issued
Jul 29, 2006 (20.015411860204 yrs)
Last Updated
Jun 19, 2008
License
ME32736 (FL)

Practice Information

Address
18503 PINES BLVD
SUITE 303
PEMBROKE PINES, FL, 330291404
Browse FL providers · Browse ZIP 33029
Phone
9544997878
Fax
9544997877
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.