Provider Demographics
NPI:1558883744
Name:GONZALEZ, ARMANDO (ARNP)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 W 73RD PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6503
Mailing Address - Country:US
Mailing Address - Phone:786-873-1248
Mailing Address - Fax:
Practice Address - Street 1:1800 W 68TH ST STE 114
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-4406
Practice Address - Country:US
Practice Address - Phone:305-698-9077
Practice Address - Fax:305-827-4925
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9357855363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner