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NPI Code Detail

MEDICARE: JORGE M. GONZALEZ BS, ARNP

MEDICARE: JORGE M. GONZALEZ BS, 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
1363LF0000XFamily Nurse PractitionerARNP9347145FL
2104100000XSocial Worker

Other Identifiers

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

General Provider Information

NPI Number : 1982648085
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE M. GONZALEZ BS, ARNP
Provider Business Mailing Address
First Line : 167 W 23RD ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-2211
Country : US
Telephone Number : 305-823-3312
Fax Number : 305-884-3989
Provider Business Practice Location Address
First Line : 10300 SW 216TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33190-1003
Country : US
Telephone Number : 305-253-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 02/24/2026

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