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NPI Code Detail

MEDICARE: ALIUSKA LUIS GONZALEZ

MEDICARE:   ALIUSKA  LUIS GONZALEZ
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
1103K00000XBehavior Analyst23-299600FL

General Provider Information

NPI Number : 1588426662
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIUSKA LUIS GONZALEZ
Provider Business Mailing Address
First Line : 1345 W 28TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-6005
Country : US
Telephone Number : 786-794-1213
Fax Number :
Provider Business Practice Location Address
First Line : 1345 W 28TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-6005
Country : US
Telephone Number : 786-794-1213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2024
Last Update Date : 03/10/2026

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Directions to “ ALIUSKA LUIS GONZALEZ ” Practice Location

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