Individual
LINO ULISES GONZALEZ MONTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10217 SW 24TH ST APT A310, MIAMI, FL 33165-2568
(305) 609-6136
Mailing address
10217 SW 24TH ST APT A310, MIAMI, FL 33165-2568
(305) 609-6136
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM0107436P
FL
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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