Healthcare Provider Details

I. General information

NPI: 1659046951
Provider Name (Legal Business Name): CLAUDIA GONZALEZ TORANO IMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8175 NW 12TH ST STE 119
DORAL FL
33126-1828
US

IV. Provider business mailing address

16400 SW 304TH ST APT 206
HOMESTEAD FL
33033-3292
US

V. Phone/Fax

Practice location:
  • Phone: 786-362-5981
  • Fax:
Mailing address:
  • Phone: 786-226-5691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMT4518
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-502919
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: