Individual
MARYLET GONZALEZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8341 NW 21ST CT, SUNRISE, FL 33322-3831
(954) 695-8028
(954) 746-8747
Mailing address
10520 NW 26TH ST STE C201, DORAL, FL 33172-2161
(305) 364-5182
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
10/20/2022
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