Perez Gonzalez, Mirlleins

Perez Gonzalez, Mirlleins is an sole proprietor health care provider with primary practice located at 9290 Hammocks Blvd Ste 401 , Miami FL 33196-1347. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Perez Gonzalez, Mirlleins can be contacted via phone (786) 558-5694.

Contact Information

Primary practice address
9290 Hammocks Blvd Ste 401 Miami FL 33196-1347
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X SA14128 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 14128 Florida

Profile Details

NPI number 1972896348
LBN Legal business name Perez Gonzalez, Mirlleins
Credentials MS.- SLP.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2011
Last updated Oct 21st, 2023 - about 2 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 1972896348 NPPES
Florida MEDICAID 013546100
Florida MEDICAID 010506800

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