Provider Demographics
NPI:1326641382
Name:ORO GONZALEZ, SINAI
Entity Type:Individual
Prefix:
First Name:SINAI
Middle Name:
Last Name:ORO GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 E 17TH ST APT B
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-3135
Mailing Address - Country:US
Mailing Address - Phone:786-718-7916
Mailing Address - Fax:
Practice Address - Street 1:175 E 17TH ST APT B
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-3135
Practice Address - Country:US
Practice Address - Phone:786-718-7916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician