Healthcare Provider Details

I. General information

NPI: 1366303125
Provider Name (Legal Business Name): MRS. ARLETY MARTHA GONZALEZ HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5190 NW 167TH ST STE 218
MIAMI LAKES FL
33014-6338
US

IV. Provider business mailing address

1075 W 68TH ST APT 309
HIALEAH FL
33014-5130
US

V. Phone/Fax

Practice location:
  • Phone: 786-684-1407
  • Fax:
Mailing address:
  • Phone: 786-684-1407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: