Healthcare Provider Details

I. General information

NPI: 1750207866
Provider Name (Legal Business Name): MELISSA GONZALEZ CAA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

IV. Provider business mailing address

18033 SW 155TH CT
MIAMI FL
33187-1722
US

V. Phone/Fax

Practice location:
  • Phone: 786-461-9881
  • Fax:
Mailing address:
  • Phone: 786-461-9881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: