Individual provider · Type 1 NPI
Ivan Gabriel Fundora Gonzalez, MD
General Practice Physician · Miami, FL
NPI number
1568036010
Active
Practice location
6801 SW 8th St
Miami, FL 33144-4742
Fax (866) 285-7068
Mailing address
8333 NW 53rd St Fl 6
Doral, FL 33166-4783
Other practice locations
- Ave Juan Ponce De Leon, Hato Rey Central San Juan, San Juan, PR 00919-1227 · (787) 758-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | ACN1463 (FL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
4 other providers at this address
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About NPI 1568036010
Ivan Gabriel Fundora Gonzalez, MD's National Provider Identifier is 1568036010, issued on May 19, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Miami, FL. The record was last updated on Jun 22, 2026.