Provider Demographics
NPI:1578096020
Name:GONZALEZ, DANIA
Entity Type:Individual
Prefix:
First Name:DANIA
Middle Name:
Last Name: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 1:9600 SW 8TH ST
Mailing Address - Street 2:SUITE 26
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2900
Mailing Address - Country:US
Mailing Address - Phone:786-615-8388
Mailing Address - Fax:786-615-8436
Practice Address - Street 1:9600 SW 8TH ST
Practice Address - Street 2:SUITE 26
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2900
Practice Address - Country:US
Practice Address - Phone:786-615-8388
Practice Address - Fax:786-615-8436
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-11
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator