Provider Demographics
NPI:1316276116
Name:GUEVARA-GONZALEZ, ALDO (MD)
Entity type:Individual
Prefix:
First Name:ALDO
Middle Name:
Last Name:GUEVARA-GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALDO
Other - Middle Name:
Other - Last Name:GUEVARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11907 SW 38TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3509
Mailing Address - Country:US
Mailing Address - Phone:786-537-2581
Mailing Address - Fax:300-564-9457
Practice Address - Street 1:700 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3300
Practice Address - Country:US
Practice Address - Phone:305-860-3988
Practice Address - Fax:305-859-9954
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108756207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine