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NPI Code Detail

MEDICARE: GELAY DE LA CARIDAD GONZALEZ PERDOMO

MEDICARE: GELAY DE LA CARIDAD GONZALEZ PERDOMO
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1740141738
Entity Type Code : Individual
Provider Name (Legal Business Name) : GELAY DE LA CARIDAD GONZALEZ PERDOMO
Provider Business Mailing Address
First Line : 1561 KUDZA RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33415-5520
Country : US
Telephone Number : 786-508-3616
Fax Number :
Provider Business Practice Location Address
First Line : 2677 FOREST HILL BLVD STE 109
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-5941
Country : US
Telephone Number : 561-433-5050
Fax Number : 561-354-6027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2025
Last Update Date : 05/28/2026

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Directions to “ GELAY DE LA CARIDAD GONZALEZ PERDOMO ” Practice Location

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