IndividualActive
Ernesto Calderon Gonzalez, P.A.
NPI 1629592019 · Physician Assistant · Miramar, FL
Provider details
- NPI number
- 1629592019
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2782 (PR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6500 Sw 22nd St
Miramar, FL 33023-2812
Phone: (786) 307-9664
Approximate (ZIP-level) locationGet directions
Mailing address
6500 Sw 22nd St
Miramar, FL 33023-2812
Registry dates
- Enumerated
- 2017-07-27
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.