DR. JOSE RAPHAEL GONZALEZ (NPI# 1104462647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104462647 |
| Entity Type | Individual |
| Full Name | DR. JOSE RAPHAEL GONZALEZ |
| Credential | PSY.D. |
| Practice Address |
1848 Se 1st Ave Fort Lauderdale FL 33316-2875 |
| Mailing Address |
3400 Sw 108th Ave Miami FL 33165-3510 |
| Practice Telephone | 9548859500 |
| Mailing Telephone | 3052182425 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH13471 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548755 | Jose Ramon Gonzalez | Behavior Technician | 16930 Sw 119th Ave, Miami, FL 33177-2114 | 2020-08-10 |
| 1215499090 | Jose Antonio Gonzalez | Student in an Organized Health Care Education/Training Program | 13890 Sw 143rd St Unit G, Miami, FL 33186-7556 | 2019-04-02 |
| 1346731197 | Jose Alberto Gonzalez Sr. | Specialist/Technologist, Other | 15005 Sw 8th Ter, Miami, FL 33194-2448 | 2018-05-27 |
| 1205335734 | Jose Antonio Gonzalez | Driver | 45 Sovereign Way, Hutchinson Island, FL 34949-8367 | 2018-02-11 |
| 1548784978 | Jose Luis Gonzalez | Technician/Technologist | 9400 Perrin Beitel Rd Ste 102, San Antonio, TX 78217-3511 | 2017-07-27 |
| 1831564046 | Jose Gonzalez | Nurse Practitioner | 9480 S. Eastern Ave. Suite 262, Henderson, NV 89052 | 2015-12-14 |
| 1568859551 | Jose T Gonzalez Jr. | Nurse Practitioner | 2017 W Expressway 83 Ste 1, Weslaco, TX 78596-4304 | 2015-04-17 |
| 1134510142 | Jose A Gonzalez | Registered Nurse | 3321 Nw 23rd Ct, Laud Lakes, FL 33311-2742 | 2015-02-12 |
| 1447664842 | Jose Gonzalez | Psychologist | Barcelo #12 Esq 173, Cidra, PR 00739-0000 | 2014-06-13 |
| 1588097653 | Jose Trejo Gonzalez | Radiologic Technologist | 14722 Country Rose Ln, Cypress, TX 77429-8044 | 2013-08-13 |
| Street Address |
1848 SE 1ST AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083691406 | Cynthia Torres Williams | Psychologist | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2005-12-28 |
| 1497354146 | Ariella Bloch | Social Worker | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-10-23 |
| 1194324822 | Ann Voorhees | Social Worker | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-10-23 |
| 1346856549 | Lauren Jeffers | Psychologist | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-09-22 |
| 1750996013 | Ernestine Lambert | Social Worker | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-09-14 |
| 1194344564 | Mental Health Solutions of South Florida Pa | Counselor | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-04-15 |
| 1205455672 | South Florida Mental Health Solutions Pa | Counselor | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-04-15 |
| 1013542166 | Carl Philippe Pierre Paul | Psychologist | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-03-10 |
| 1356981609 | George Farid Moussa | Psychologist | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-01-14 |
| 1336795509 | Nicholas M Moore | Psychologist | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1871192203 | Kamari L Pasley | Counselor | 1900 Nw 16th Ct, Fort Lauderdale, FL 33311-4639 | 2020-10-17 |
| 1134746829 | Chinyere Tunsill | Counselor | 1000 Long Island Ave, Fort Lauderdale, FL 33312-2674 | 2020-06-29 |
| 1750906848 | Darcy Holm | Counselor | 3000 N Federal Hwy Ste 5, Fort Lauderdale, FL 33306-1416 | 2020-06-15 |
| 1356977078 | Herz Counseling Group, LLC | Counselor | 4390 N Federal Hwy Ste 208, Fort Lauderdale, FL 33308-5200 | 2020-03-13 |
| 1558997346 | Paulina Scaturro | Counselor | 4413 Ne 21st Ave, Fort Lauderdale, FL 33308-5603 | 2020-03-12 |
| 1144855925 | Victoria Baca | Counselor | 501 Ne 5th Ter Apt 314, Fort Lauderdale, FL 33301-0014 | 2020-03-11 |
| 1184254476 | Shaira A. Shah | Counselor | 2699 Stirling Rd Ste C307, Fort Lauderdale, FL 33312-6564 | 2020-01-25 |
| 1194364893 | Jennifer Tiech | Counselor | 2901 W Cypress Creek Rd Ste 123124, Fort Lauderdale, FL 33309-1730 | 2019-12-27 |
| 1205475167 | Tara Yombor | Counselor | 545 Sw 18th Ave Unit 34, Fort Lauderdale, FL 33312-7704 | 2019-12-24 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on DR. JOSE RAPHAEL GONZALEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.