MEDICARE: LUIS ENRIQUE COLAS 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

General Provider Information

NPI Number	:	1801620323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS ENRIQUE COLAS GONZALEZ

Provider Business Mailing Address
First Line	:	4137 NE 10TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-6260
Country	:	US
Telephone Number	:	239-878-5457
Fax Number	:

Provider Business Practice Location Address
First Line	:	4137 NE 10TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-6260
Country	:	US
Telephone Number	:	239-878-5457
Fax Number	:

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

Provider Enumeration Date	:	08/27/2024
Last Update Date	:	03/25/2026

Similar Medicare Providers

1245235688 — CHRISTOPHER T. CHEN MD
Practice Location Address:

2101 RIVERSIDE DR , SUITE 101
CORAL SPRINGS, FL
33071-6260

Practice Phone: 954-341-6200
Practice Fax: 239-341-6204

1386612349 — CARLOS F. VARGAS MD
Practice Location Address:

2101 RIVERSIDE DR # 101
CORAL SPRINGS, FL
33071-6260

Practice Phone: 954-341-6201
Practice Fax: 954-341-6204

1356568307 — ENT ASSOCIATES OF SOUTH FLORIDA LLC
Practice Location Address:

2101 RIVERSIDE DR , SUITE 105
CORAL SPRINGS, FL
33071-6260

Practice Phone: 954-345-9191
Practice Fax:

1437581089 — GENESISCARE USA OF FLORIDA LLC
Practice Location Address:

2101 RIVERSIDE DR STE 101
CORAL SPRINGS, FL
33071-6260

Practice Phone: 561-420-8770
Practice Fax: 561-420-8771

1609333236 — DELA AMI VARGAS PHARMD
Practice Location Address:

6260 WILES RD APT 202
CORAL SPRINGS, FL
33067-4311

Practice Phone: 754-222-3639
Practice Fax:

1245043694 — BASMA SHENODA
Practice Location Address:

1511 NE PINE ISLAND RD STE 140
CAPE CORAL, FL
33909-2322

Practice Phone: 855-560-7216
Practice Fax:

Directions to “ LUIS ENRIQUE COLAS GONZALEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.