OrganizationGonzalez S Medical Center Inc(<Unavail>)Clinic/CenterAmbulatory Health Care FacilitiesPractice Address935 West 49 St, Suite 103, Hialeah, FL 33012(305) 818-1099PECOS EnrollmentBased on the most recent information from CMS, provider Gonzalez S Medical Center Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1043577760Provider TypeOrganizationFull NameGonzalez S Medical Center IncOther Name<Unavail>SubpartNoEnumeration Date4/19/2012Last Updated6/21/2017Contact InformationPractice LocationPractice Address935 West 49 St, Suite 103, Hialeah, FL 33012Phone(305) 818-1099FaxUnlisted FaxMailing LocationMailing Address935 W 49th St Ste 103, Hialeah, FL 33012-3436Phone(305) 818-1099FaxUnlisted FaxAuthorized OfficialNameGonzalez, Jose Javier (Owner)Phone(305) 818-1099Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerFloridaCode261Q00000XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer