MEDICARE: ANNABEL HERNANDEZ GOMEZ

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-20-128525	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861159188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNABEL HERNANDEZ GOMEZ

Provider Business Mailing Address
First Line	:	18914 NW 56TH CT
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2319
Country	:	US
Telephone Number	:	786-334-0470
Fax Number	:

Provider Business Practice Location Address
First Line	:	18914 NW 56TH CT
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2319
Country	:	US
Telephone Number	:	786-334-0470
Fax Number	:

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

Provider Enumeration Date	:	11/22/2021
Last Update Date	:	11/22/2021

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1063280444 — ANGELICA MACHADO FLORES
Practice Location Address:

18914 NW 56TH CT
MIAMI GARDENS, FL
33055-2319

Practice Phone: 786-744-0451
Practice Fax:

1487445656 — KAREN MITTENZWEI
Practice Location Address:

6548 224TH ST
OAKLAND GARDENS, NY
11364-2319

Practice Phone: 516-238-1851
Practice Fax:

1356305783 — DR. NEIL F GOODMAN M.D.
Practice Location Address:

9150 SW 87TH AVE , SUITE 210
MIAMI, FL
33176-2319

Practice Phone: 305-595-6855
Practice Fax: 305-595-4846

1265499446 — DR. MARCY WASMAN PH.D.
Practice Location Address:

9150 SW 87TH AVE , SUITE 109
MIAMI, FL
33176-2319

Practice Phone: 305-274-5677
Practice Fax: 305-596-6947

1942223359 — CRISTINA GRAND PSY.D.ABPP
Practice Location Address:

9150 SW 87TH AVE , SUITE 109
MIAMI, FL
33176-2319

Practice Phone: 305-596-4663
Practice Fax: 305-596-6947

Directions to “ ANNABEL HERNANDEZ GOMEZ ” 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.