Provider Demographics
NPI:1942040571
Name:GONZALEZ CHOY, ERNESTO JOSE
Entity type:Individual
Prefix:
First Name:ERNESTO
Middle Name:JOSE
Last Name:GONZALEZ CHOY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12112 SAINT ANDREWS PL
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-0705
Mailing Address - Country:US
Mailing Address - Phone:754-295-0467
Mailing Address - Fax:
Practice Address - Street 1:12112 SAINT ANDREWS PL
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-0705
Practice Address - Country:US
Practice Address - Phone:754-295-0467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician