Basic Information
Provider Information
NPI: 1285977991
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GONZALEZ
FirstName: AYLIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2001 W 68TH ST
Address2: PALMETTO GENERAL HOSPITAL DEPT OF ANESTHESIOLOGY
City: HIALEAH
State: FL
PostalCode: 33016
CountryCode: US
TelephoneNumber: 9544644793
FaxNumber:  
Practice Location
Address1: 100 NICOLLS RD
Address2: DEPARTMENT OF ANESTHESIOLOGY, STONY BROOK MEDICINE
City: STONY BROOK
State: NY
PostalCode: 117948480
CountryCode: US
TelephoneNumber: 6314442975
FaxNumber: 6314442907
Other Information
ProviderEnumerationDate: 04/01/2013
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X132181FLY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home