Provider Demographics
NPI:1770332868
Name:GONZALEZ PSYCHIATRY CARE, LLC
Entity type:Organization
Organization Name:GONZALEZ PSYCHIATRY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRY MENTAL HEALTH NURSE PRAC
Authorized Official - Prefix:MR
Authorized Official - First Name:YURI
Authorized Official - Middle Name:
Authorized Official - Last Name:REMEDIOZ GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSN,FNP-BC, PMHNP-BC
Authorized Official - Phone:305-903-9398
Mailing Address - Street 1:5040 NW 7TH ST STE 610
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3437
Mailing Address - Country:US
Mailing Address - Phone:786-505-9442
Mailing Address - Fax:
Practice Address - Street 1:5040 NW 7TH ST STE 610
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3437
Practice Address - Country:US
Practice Address - Phone:786-505-9442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty