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General NPI Number Information
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NPI Number | 1164934915
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Entity Type | Individual
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Provider Name | MR. MIGUEL ANGEL GONZALEZ PINERA SR.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 8200 SW 117TH AVE STE 112
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City | MIAMI
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State | FL
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Zip | 33183-4825
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Country | US
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Telephone | 305-596-7432
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Fax |
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Provider Business Mailing Address
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Address Line | 2080 SW 155TH AVE
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City | MIAMI
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State | FL
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Zip | 33185-5831
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Country | US
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Telephone | 305-609-4696
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F10171324
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License Number State | FL
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