Damian Gonzalez-Oliva
Counselor, Mental Health in Miami, FL. Individual provider (NPI-1).
NPI number1003678889
StatusActive
Last updated in NPPESJan 26, 2024
Details
- NPI
- 1003678889
- Entity type
- Individual (NPI-1)
- Name
- Damian Gonzalez-Oliva
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2024
- Certification date
- Jan 26, 2024
- Last updated
- Jan 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 25046 | FL | Yes |
Practice location
200 Sw 124th AveMiami, FL 33184-1416
Phone 305-965-7959
Mailing address
200 Sw 124th AveMiami, FL 33184-1416
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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