MEDICARE: ROSMERY AMARALES GONZALEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-25-494632	FL

General Provider Information

NPI Number	:	1336001197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSMERY AMARALES GONZALEZ

Provider Business Mailing Address
First Line	:	2201 BRICKELL AVE APT 77
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-2134
Country	:	US
Telephone Number	:	786-697-8789
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 BRICKELL AVE APT 77
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-2134
Country	:	US
Telephone Number	:	786-697-8789
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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