MEDICARE: ANA GONZALEZ L.AC, DOM, LMT

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	171100000X	Acupuncturist	AP3773	FL

General Provider Information

NPI Number	:	1710420880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA GONZALEZ L.AC, DOM, LMT

Provider Business Mailing Address
First Line	:	7363 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1402
Country	:	US
Telephone Number	:	786-942-2172
Fax Number	:

Provider Business Practice Location Address
First Line	:	7363 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1402
Country	:	US
Telephone Number	:	786-942-2172
Fax Number	:

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

Provider Enumeration Date	:	11/22/2016
Last Update Date	:	01/09/2026

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