Healthcare Provider Details

I. General information

NPI: 1659243558
Provider Name (Legal Business Name): SAX GONZALEZ ENTERPRISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10131 HAITIAN DR
CUTLER BAY FL
33189-1642
US

IV. Provider business mailing address

10131 HAITIAN DR
CUTLER BAY FL
33189-1642
US

V. Phone/Fax

Practice location:
  • Phone: 321-365-1460
  • Fax:
Mailing address:
  • Phone: 321-365-1460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARLON RUBEN GONZALEZ
Title or Position: MUSIC THERAPIST / CEO
Credential:
Phone: 305-484-4919