Provider Demographics
NPI:1134517808
Name:G&G ZONE CORPORATION
Entity Type:Organization
Organization Name:G&G ZONE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUDYARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-609-2519
Mailing Address - Street 1:8785 SW 165TH AVE STE 202A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5828
Mailing Address - Country:US
Mailing Address - Phone:786-484-7701
Mailing Address - Fax:786-513-2488
Practice Address - Street 1:8785 SW 165TH AVE STE 202A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-5828
Practice Address - Country:US
Practice Address - Phone:786-484-7701
Practice Address - Fax:786-513-2488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management