Individual
MARIELA A GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11890 SW 8TH ST STE 210, MIAMI, FL 33184-1742
(786) 534-8408
(786) 773-2612
Mailing address
11890 SW 8TH ST STE 210, MIAMI, FL 33184-1742
(786) 534-8408
(786) 773-2612
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022309200
—
FL
Enumeration date
02/22/2018
Last updated
09/13/2021
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