Healthcare Provider Details

I. General information

NPI: 1366406944
Provider Name (Legal Business Name): RAYDA ESTHER GONZALEZ ARNP,C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 06/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2974 SW 8TH ST
MIAMI FL
33135-2827
US

IV. Provider business mailing address

2974 SW 8TH ST
MIAMI FL
33135-2827
US

V. Phone/Fax

Practice location:
  • Phone: 305-631-3000
  • Fax: 305-631-3006
Mailing address:
  • Phone: 305-631-3000
  • Fax: 305-631-3006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP1744032
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: