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NPI Code Detail

MEDICARE: MRS. RACHEL JANELLE GONZALEZ PT

MEDICARE:  MRS. RACHEL JANELLE GONZALEZ  PT
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
1225100000XPhysical TherapistPT 19330FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447342928
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL JANELLE GONZALEZ PT
Provider Business Mailing Address
First Line : 8621 DUNDEE TER
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33016-1402
Country : US
Telephone Number : 305-828-5606
Fax Number :
Provider Business Practice Location Address
First Line : 2727 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-4406
Country : US
Telephone Number : 305-622-7575
Fax Number : 305-622-9464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 01/24/2011

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Directions to “ MRS. RACHEL JANELLE GONZALEZ PT” Practice Location

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