MEDICARE: DR. NANCY N NAVARRO GONZALEZ MD

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	2084P0800X	Psychiatry Physician	15291	PR

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	:	1932125275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY N NAVARRO GONZALEZ MD

Provider Business Mailing Address
First Line	:	19812 SW 121ST AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-4355
Country	:	US
Telephone Number	:	786-695-2202
Fax Number	:	786-536-7615

Provider Business Practice Location Address
First Line	:	7392 NW 35TH TER STE 303
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33122-1260
Country	:	US
Telephone Number	:	786-695-2202
Fax Number	:	786-536-7615

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	12/14/2022

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