Healthcare Provider Details

I. General information

NPI: 1275464810
Provider Name (Legal Business Name): CARIDAD GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 JOE DIMAGGIO DR
HOLLYWOOD FL
33021-5402
US

IV. Provider business mailing address

3550 WASHINGTON ST APT 612B
HOLLYWOOD FL
33021-8248
US

V. Phone/Fax

Practice location:
  • Phone: 786-553-8059
  • Fax:
Mailing address:
  • Phone: 786-553-8059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: