Provider Demographics
NPI:1720493505
Name:RAMOS-GONZALEZ, GABRIEL JOSE (MD)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:JOSE
Last Name:RAMOS-GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 S ORANGE AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2967
Mailing Address - Country:US
Mailing Address - Phone:407-540-1000
Mailing Address - Fax:407-540-1011
Practice Address - Street 1:1720 S ORANGE AVE STE 500
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2967
Practice Address - Country:US
Practice Address - Phone:407-540-1000
Practice Address - Fax:407-540-1011
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA268932208600000X
FL150561.390200000X
FLME1505612086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA268932OtherMEDICAL LICENSE