Gonzalez, Jorge L
Gonzalez, Jorge L is an sole proprietor health care provider with primary practice located at 8425 Nw 8Th St 403, Miami FL 33126-3769. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Gonzalez, Jorge L can be contacted via phone (305) 389-0709.Contact Information
Primary practice address
8425 Nw 8Th St 403
Miami FL 33126-3769
Phone: (305) 389-0709
Fax: (305) 261-1890
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 0-03-0981 | Florida |
Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
NPI number | 1770737603 |
---|---|
LBN Legal business name | Gonzalez, Jorge L |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 5th, 2008 |
Last updated | Nov 5th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770737603 | NPPES |
Florida | MEDICAID | 676238798 | |
Florida | MEDICAID | 691481179 | |
Florida | MEDICAID | 676238796 | |
Florida | MEDICAID | 676238700 |
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