MEDICARE: DR. NUBIA GONZALEZ BUIGAS DNP, FNP, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP9333157	FL
2	363LF0000X	Family Nurse Practitioner	ARNP9333157	FL

General Provider Information

NPI Number	:	1306220710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NUBIA GONZALEZ BUIGAS DNP, FNP, PMHNP

Provider Business Mailing Address
First Line	:	14719 SW 46TH LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4356
Country	:	US
Telephone Number	:	305-440-8187
Fax Number	:

Provider Business Practice Location Address
First Line	:	1454 SW 1ST ST STE 130
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-2203
Country	:	US
Telephone Number	:	786-353-2872
Fax Number	:	786-353-2967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2015
Last Update Date	:	03/23/2023

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