Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jose Rafael Gamboa Gonzalez, SA-C

Individual provider Surgical Assistant · NPI 1548823909

Jose Rafael Gamboa Gonzalez, SA-C is a Surgical Assistant in Pembroke Pines, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

17877 SW 8th St
Pembroke Pines, FL 33029-4402
Phone: (954) 513-9853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 19-201 (FL)

Record details

NPI number1548823909
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorYes
NPI enumeratedApril 20, 2019
Last updated in NPPESApril 20, 2019

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