Llerena Gonzalez, Monica M

Llerena Gonzalez, Monica M is an sole proprietor health care provider with primary practice located at 13117 Nw 42Nd Ave , Opa Locka FL 33054-4435. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Llerena Gonzalez, Monica M can be contacted via phone (786) 327-1163.

Contact Information

Primary practice address
13117 Nw 42Nd Ave Opa Locka FL 33054-4435
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1568046811
LBN Legal business name Llerena Gonzalez, Monica M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2021
Last updated May 11th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568046811 NPPES
Florida MEDICAID 109696000

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