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Bianca M Gonzalez

Nurse's Aide in Miami Lakes, FL. Individual provider (NPI-1).

NPI number1699280461
StatusActive
Last updated in NPPESNov 16, 2018

Details

NPI
1699280461
Entity type
Individual (NPI-1)
Name
Miss Bianca M Gonzalez
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 2, 2017
Last updated
Nov 16, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideCNA334670FLYes
106S00000X Behavior Technician––

Practice location

5979 Nw 151st St Ste 102i
Miami Lakes, FL 33014-2434

Phone 786-953-5120 · Fax 786-636-6965

Mailing address

5979 Nw 151st St Ste 102i
Miami Lakes, FL 33014-2434

Phone 786-953-5120 · Fax 786-636-6965

Other practice locations

7789 Nw 146th St
Miami Lakes, FL 33016-1567

Phone 305-824-0230 · Fax 305-824-0230

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