Provider Demographics
NPI:1649009564
Name:GONZALEZ, NATALI DE LA CARIDAD
Entity type:Individual
Prefix:
First Name:NATALI
Middle Name:DE LA CARIDAD
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 1:2114 NW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-8452
Mailing Address - Country:US
Mailing Address - Phone:786-685-1007
Mailing Address - Fax:
Practice Address - Street 1:2114 NW 27TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-8452
Practice Address - Country:US
Practice Address - Phone:786-685-1007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician