Individual
LUIS ENRIQUE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10435 SW 7TH ST, MIAMI, FL 33174-1662
(512) 945-7918
Mailing address
10435 SW 7TH ST, MIAMI, FL 33174-1662
(512) 945-7918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105625600
—
FL
Enumeration date
08/28/2019
Last updated
08/29/2023
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