Individual
ISIS M GONZALEZ SORIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCMS
Contact information
Practice address
9999 NE 2ND AVE STE 203, MIAMI SHORES, FL 33138-2345
(786) 580-5131
(786) 580-5149
Mailing address
9999 NE 2ND AVE STE 203, MIAMI SHORES, FL 33138-2345
(786) 580-5131
(786) 580-5149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109482500
—
FL
Enumeration date
07/08/2021
Last updated
07/08/2021
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