Healthcare Provider Details

I. General information

NPI: 1235841842
Provider Name (Legal Business Name): GABRIELA ALEJANDRA BONET HUERTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12400 SW 127TH AVE
MIAMI FL
33186-6596
US

IV. Provider business mailing address

6760 ARVILLE ST
LAS VEGAS NV
89118-4302
US

V. Phone/Fax

Practice location:
  • Phone: 786-358-6559
  • Fax: 786-329-6693
Mailing address:
  • Phone: 702-577-6274
  • 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: