MEDICARE: RAMON A GONZALEZ ARNP

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	363L00000X	Nurse Practitioner	11006949	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902415326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMON A GONZALEZ ARNP

Provider Business Mailing Address
First Line	:	3550 SW 94 AVENUE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165
Country	:	US
Telephone Number	:	786-602-2777
Fax Number	:

Provider Business Practice Location Address
First Line	:	8057 NW 155TH ST
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5874
Country	:	US
Telephone Number	:	305-698-2200
Fax Number	:	305-698-2243

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

Provider Enumeration Date	:	07/31/2020
Last Update Date	:	07/31/2020

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