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 yesterday at 11:13 AM.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