MEDICARE: JAIDEL 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	171R00000X	Interpreter

General Provider Information

NPI Number	:	1902764434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIDEL GONZALEZ

Provider Business Mailing Address
First Line	:	45 W 25TH ST APT 1
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-1728
Country	:	US
Telephone Number	:	305-890-2501
Fax Number	:	305-890-2501

Provider Business Practice Location Address
First Line	:	45 W 25TH ST APT 1
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-1728
Country	:	US
Telephone Number	:	305-890-2501
Fax Number	:	305-890-2501

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ JAIDEL GONZALEZ ” Practice Location

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