Healthcare Provider Details

I. General information

NPI: 1376471771
Provider Name (Legal Business Name): RAMON PAZ GONZALEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 SW 164TH ST
MIAMI FL
33157-3050
US

IV. Provider business mailing address

10451 SW 164TH ST
MIAMI FL
33157-3050
US

V. Phone/Fax

Practice location:
  • Phone: 305-492-8903
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number30212336
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: