Provider Demographics
NPI:1215387063
Name:GONZALEZ, DANITZA ARELI (RRT)
Entity Type:Individual
Prefix:MS
First Name:DANITZA
Middle Name:ARELI
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 E VISTA GRANDE RD
Mailing Address - Street 2:
Mailing Address - City:HEREFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85615-8521
Mailing Address - Country:US
Mailing Address - Phone:520-227-5405
Mailing Address - Fax:
Practice Address - Street 1:5110 E VISTA GRANDE RD
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:AZ
Practice Address - Zip Code:85615-8521
Practice Address - Country:US
Practice Address - Phone:520-227-5405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ011824227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered