MEDICARE: ANA I GONZALEZ DO PA

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	2084P0800X	Psychiatry Physician	OS9700	FL
2	2084P0805X	Geriatric Psychiatry Physician	OS9700	FL

General Provider Information

NPI Number	:	1578578407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANA I GONZALEZ DO PA

Provider Business Mailing Address
First Line	:	3564 CRYSTAL CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4036
Country	:	US
Telephone Number	:	305-299-9680
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 S DIXIE HWY
Second Line	:	SUITE 104
City	:	MIAMI
State	:	FL
Zip	:	33133-2456
Country	:	US
Telephone Number	:	305-299-9680
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANA I GONZALEZ
Credential	:	DO
Telephone Number	:	305-299-9680

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	09/11/2025

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Directions to “ANA I GONZALEZ DO PA ” Practice Location

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