Healthcare Provider Details

I. General information

NPI: 1497511695
Provider Name (Legal Business Name): MARIA CANDELARIA TORANZO GONZALEZ SI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4645 GUN CLUB RD STE 12
WEST PALM BEACH FL
33415-2833
US

IV. Provider business mailing address

2606 HAVENWOOD RD
WEST PALM BEACH FL
33415-8214
US

V. Phone/Fax

Practice location:
  • Phone: 561-856-9484
  • Fax:
Mailing address:
  • Phone: 561-379-2026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI6863
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: