DR. ROLANDO LUIS GONZALEZ (NPI# 1386080034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386080034 |
| Entity Type | Individual |
| Full Name | DR. ROLANDO LUIS GONZALEZ |
| Credential | M.D. |
| Practice Address |
15901 Bass Rd Ste 108 Fort Myers FL 33908-3838 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393436050 |
| Practice Fax Number | 2393436051 |
| Mailing Telephone | 2393436050 |
| Mailing Fax Number | 2393436051 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
69181-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME132284 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 106301500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 619 N Segoe Rd, Madison, WI 537053112 | 0000000000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720555600 | Rolando Gonzalez | Technician | 1141 Lulu Ave Apt 4, Las Vegas, NV 89119-1422 | 2018-10-29 |
| 1730665738 | Rolando Gonzalez | Nurse Practitioner | 1450 Sw 118th Ave, Miami, FL 33184-2500 | 2018-07-13 |
| 1326482027 | Rolando Gonzalez | Specialist/Technologist, Other | 1131 91st St, San Antonio, TX 78214 | 2013-04-24 |
| 1972902757 | Rolando Gonzalez | Pharmacist | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2014-08-18 |
| 1851569735 | Rolando O Gonzalez | Dentist | 431 E 1st St, Suite 4a, Santa Ana, CA 92701-5303 | 2008-02-13 |
| 1548464944 | Rolando E. Gonzalez | Internal Medicine | Christiana Hospital, 4755 Ogletown-stanton Road, Newark, DE 19718-0001 | 2007-06-12 |
| 1184833147 | Rolando Gonzalez | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2007-05-22 |
| 1356370696 | Rolando L Gonzalez | Internal Medicine | 1750 Thompson Rd, Coos Bay, OR 97420-2195 | 2006-06-30 |
| 1205872314 | Rolando Gonzalez | Obstetrics & Gynecology | 7150 W 20 Ave, Suite 202, Hialeah, FL 33016-5509 | 2006-06-20 |
| Street Address |
15901 BASS RD STE 108 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497847529 | Elena Zerpa Stolk | Psychiatry & Neurology | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2006-09-28 |
| 1790339786 | Lashunda F Watkins | Social Worker | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2019-07-29 |
| 1750942744 | Numra Yaqub | Counselor | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2019-06-21 |
| 1386102275 | Jennifer Massip | Social Worker | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2019-03-09 |
| 1093291833 | Nancy J Stetter | Social Worker | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2018-07-16 |
| 1093223638 | Lemetrice Dewand Mcclendon | Nurse Practitioner | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2018-01-17 |
| 1366966335 | Siddika Saara Mulchan | Psychologist | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2017-08-01 |
| 1275914111 | Diego Fernando Gomez | Counselor | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2015-06-16 |
| 1104211630 | Sophia French | Psychiatry & Neurology | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2015-04-01 |
| 1215330832 | Kaleesha Bent | Marriage & Family Therapist | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2014-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881800902 | Marianne G. Krouk | Psychiatry & Neurology | 5294 Summerlin Commons Way, Suite 1201, Fort Myers, FL 33907-2164 | 2007-05-15 |
| 1497847529 | Elena Zerpa Stolk | Psychiatry & Neurology | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2006-09-28 |
| 1528359932 | Nicole Jennifer Markovich | Psychiatry & Neurology | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2011-04-20 |
| 1619129350 | Kristina Bedynerman | Psychiatry & Neurology | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2008-10-14 |
| 1518024348 | Denise Dutchak-parmenter | Psychiatry & Neurology | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670959 | Md Support, LLC | Psychiatry & Neurology | 1110 Pinellas Bayway S Ste 102, Saint Petersburg, FL 33715-1506 | 2020-05-06 |
| 1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
| 1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
| 1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
| 1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
| 1548775273 | Embrace To Empower Wellness Center | Psychiatry & Neurology | 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 | 2017-12-04 |
| 1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
| 1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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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.