MEDICARE: MARIA LAURA HERNANDEZ 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	106S00000X	Behavior Technician	RBT24357587	FL

General Provider Information

NPI Number	:	1639917388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA LAURA HERNANDEZ GONZALEZ

Provider Business Mailing Address
First Line	:	6224 NW KOA CT
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34983-3344
Country	:	US
Telephone Number	:	772-812-1832
Fax Number	:

Provider Business Practice Location Address
First Line	:	6224 NW KOA CT
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34983-3344
Country	:	US
Telephone Number	:	772-812-1832
Fax Number	:

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

Provider Enumeration Date	:	07/17/2024
Last Update Date	:	07/17/2024

Similar Medicare Providers

1598779308 — WRIGHT & FILIPPIS, LLC
Practice Location Address:

1604 STONE ST
PORT HURON, MI
48060-3344

Practice Phone: 810-385-6330
Practice Fax: 810-385-6640

1376558122 — PORT HURON OPHTHALMOLOGY, PLLC
Practice Location Address:

1660 STONE ST
PORT HURON, MI
48060-3344

Practice Phone: 810-985-9600
Practice Fax: 810-985-9244

1922153022 — WRIGHT & FILIPPIS, LLC
Practice Location Address:

1604 STONE ST
PORT HURON, MI
48060-3344

Practice Phone: 810-385-6330
Practice Fax: 810-385-6640

1053434209 — WILLOW ENTERPRISES
Practice Location Address:

1644 STONE ST
PORT HURON, MI
48060-3344

Practice Phone: 810-982-8016
Practice Fax: 810-982-3590

1174787006 — CURTIS JEVENS P.T.
Practice Location Address:

1652 STONE ST
PORT HURON, MI
48060-3344

Practice Phone: 810-982-6200
Practice Fax:

1922857218 — OTTO BOCK PATIENT CARE, LLC
Practice Location Address:

1604 STONE ST
PORT HURON, MI
48060-3344

Practice Phone: 810-385-6330
Practice Fax:

Directions to “ MARIA LAURA HERNANDEZ GONZALEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.