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NPI Code Detail

MEDICARE: AYMEE PADRON GONZALEZ

MEDICARE: AYMEE PADRON 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
1171M00000XCase Manager/Care CoordinatorCBHCMP102000FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CBHCMP102000OTHERFLCERTIFIED BEHAVIORAL HEALTH CASE MANAGER

General Provider Information

NPI Number : 1962073536
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYMEE PADRON GONZALEZ
Provider Business Mailing Address
First Line : 8180 NW 36TH ST STE 209
Second Line :
City : DORAL
State : FL
Zip : 33166-6653
Country : US
Telephone Number : 786-334-6946
Fax Number : 786-313-3079
Provider Business Practice Location Address
First Line : 8180 NW 36TH ST STE 209
Second Line :
City : DORAL
State : FL
Zip : 33166-6653
Country : US
Telephone Number : 786-334-6946
Fax Number : 786-313-3079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2021
Last Update Date : 07/06/2021

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Directions to “ AYMEE PADRON GONZALEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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