MEDICARE: ALINA 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
1	2355S0801X	Speech-Language Assistant	SI7717	FL

General Provider Information

NPI Number	:	1598622623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA GONZALEZ

Provider Business Mailing Address
First Line	:	19540 NW 38TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-1902
Country	:	US
Telephone Number	:	305-713-6045
Fax Number	:

Provider Business Practice Location Address
First Line	:	19540 NW 38TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-1902
Country	:	US
Telephone Number	:	305-713-6045
Fax Number	:

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

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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Directions to “ ALINA GONZALEZ ” Practice Location

Language	Start Address	Practice Location

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