Individual
MONICA M LLERENA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13117 NW 42ND AVE, OPA LOCKA, FL 33054-4435
(786) 327-1163
Mailing address
13325 NW 19TH AVE, MIAMI, FL 33167-1410
(786) 327-1163
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109696000
—
FL
Enumeration date
05/11/2021
Last updated
05/11/2021
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