Healthcare Provider Details

I. General information

NPI: 1790699635
Provider Name (Legal Business Name): MS. MIRIAM G. GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AYMEE GODOY HHA

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9985 SW 27TH TER
MIAMI FL
33165-2601
US

IV. Provider business mailing address

9985 SW 27TH TER
MIAMI FL
33165-2601
US

V. Phone/Fax

Practice location:
  • Phone: 863-877-6533
  • Fax:
Mailing address:
  • Phone: 863-877-6533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: