MR. PABLO GONZALEZ SR. (NPI# 1194000745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194000745 |
| Entity Type | Individual |
| Full Name | MR. PABLO GONZALEZ SR. |
| Credential | MASSAGE THERAPY |
| Practice Address |
2613 Sw 143rd Ave Miami FL 33175-6583 |
| Practice Telephone | 7864446695 |
| Mailing Telephone | 7864446695 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
MA64616 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184006983 | Pablo Gonzalez | Case Manager/Care Coordinator | 6159 Lightner Dr, Orlando, FL 32829-7612 | 2015-06-29 |
| 1831441195 | Pablo Gonzalez | Case Manager/Care Coordinator | 3580 Wilshere Blvd. 2000, Los Angeles, CA 90010 | 2012-10-11 |
| 1942513643 | Pablo J Gonzalez | Psychologist | Street 1 F1 2 Ext Santa Elena, Guayanilla, PR 00656 | 2010-07-22 |
| 1629677430 | Pablo Gonzalez | Counselor | 333 17th St Ste W, Vero Beach, FL 32960-5687 | 2020-10-22 |
| 1437659596 | Pablo Andres Gonzalez | Student in an Organized Health Care Education/Training Program | 1156 Calle 62 Se, San Juan, PR 00921-2724 | 2018-02-15 |
| 1063702322 | Pablo L Gonzalez | Dentist | 16184 Foothill Blvd Ste K, Fontana, CA 92335-7400 | 2011-04-07 |
| 1730355181 | Pablo Isaias Gonzalez | Psychiatry & Neurology | 7400 Merton Minter St, Psychiatry Dept 116a, San Antonio, TX 78229-4404 | 2008-05-06 |
| 1124080759 | Pablo M Gonzalez | Internal Medicine | 1401 Johnston Willis Dr, Suite 100, Richmond, VA 23235-4730 | 2006-04-06 |
| 1972562122 | Pablo R. Gonzalez | Obstetrics & Gynecology | 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952-7585 | 2006-03-17 |
| Street Address |
2613 SW 143RD AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-6583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960704 | Victoria Garcia | Clinic/Center | 1252 Nw 32nd St, Miami, FL 33142-6143 | 2020-04-06 |
| 1245750967 | Semper Therapy Center Inc | Clinic/Center | 8500 Sw 8th Street, Suite 224, Miami, FL 33144 | 2017-06-23 |
| 1144562612 | Jl X Ray Options, Inc | Clinic/Center | 10340 Nw 36th Ct, Miami, FL 33147-1036 | 2013-03-22 |
| 1609122639 | Ariel Perez | Clinic/Center | 4070 Nw 5 St, Miami, FL 33126 | 2012-07-27 |
| 1902174683 | Pulyterapia Spa Corp | Clinic/Center | 9369 Fountainbleau Blvd Apt J108, Miami, FL 33172-5629 | 2011-12-08 |
| 1982997508 | Ez Talk 4 Kidz Corp | Clinic/Center | 7220 Nw 36th St Ste 643, Miami, FL 33166-6737 | 2011-05-17 |
| 1376747527 | Associates Therapist Group Inc | Clinic/Center | 8760a Sw 8th St, Suite 14, Miami, FL 33174-3201 | 2007-06-12 |
| 1871629907 | Roman Center for Rehabilitation Inc | Clinic/Center | 9600 Sw 8th St Ste 23b, Miami, FL 33174-2969 | 2007-02-25 |
| 1770623043 | Advance Rehabilitation and Wellness Center | Clinic/Center | 6085 Sw 40 St, 101, Miami, FL 33155-3814 | 2007-02-07 |
| 1982741690 | Neuromuscular Therapy of South Florida, Inc. | Clinic/Center | 9425 Sw 72nd St Ste 186, Miami, FL 33173-3298 | 2007-01-31 |
| Find all providers in MIAMI | ||||
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| 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.