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

Pedro Isaac Gonzalez Pacheco

Individual provider Surgical Assistant · NPI 1104523315

Pedro Isaac Gonzalez Pacheco is a Surgical Assistant in Hialeah, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

2140 W 68th St Ste 200
Hialeah, FL 33016-1815
Phone: (305) 203-0808
Show map & directions

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

Additional practice locations (1)

  • 1532 Nw 138th Ter, Pembroke Pines, FL 33028-3029 — (786) 482-0786

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 19-215 (WI)

Record details

NPI number1104523315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 8, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023

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