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NPI Code Detail

MEDICARE: LORENA GONZALEZ SORIANO

MEDICARE:   LORENA  GONZALEZ SORIANO
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 : 1790592400
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORENA GONZALEZ SORIANO
Provider Business Mailing Address
First Line : 3455 NW 205TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-1225
Country : US
Telephone Number : 786-617-4229
Fax Number :
Provider Business Practice Location Address
First Line : 3455 NW 205TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-1225
Country : US
Telephone Number : 786-617-4229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2024
Last Update Date : 12/16/2024

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Directions to “ LORENA GONZALEZ SORIANO ” Practice Location

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