Individual
MARIELYS GONZALEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1461 SW 124TH CT APT C, MIAMI, FL 33184-2359
(786) 792-7936
Mailing address
1461 SW 124TH CT APT C, MIAMI, FL 33184-2359
(786) 792-7936
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0104168
FL
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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