DR. RAUL A GONZALEZ (NPI# 1679618458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679618458 |
| Entity Type | Individual |
| Full Name | DR. RAUL A GONZALEZ |
| Credential | PA |
| Practice Address |
446 Sw 191st Ter Pembroke Pines FL 33029-5463 |
| Practice Telephone | 9542967880 |
| Mailing Telephone | 9542967880 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9100728 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487199055 | Raul Gonzalez | Behavior Technician | 1534 W 77th St, Hialeah, FL 33014-3317 | 2017-01-05 |
| 1194021436 | Raul Alberto Gonzalez | Massage Therapist | 14600 Sw 87th Ct, Palmetto Bay, FL 33176-8018 | 2011-02-03 |
| 1568621563 | Raul Sergio Gonzalez | Pathology | 601 Elmwood Ave # 626, Room G-5264a, Rochester, NY 14642-0001 | 2008-06-04 |
| 1407036601 | Raul C Gonzalez | Dentist | 1760 Coral Way, Coral Gables, FL 33145-2729 | 2007-11-06 |
| 1821651670 | Raul Gonzalez | Technician, Other | 13428 Maxella Ave Ste 913, Marina Del Rey, CA 90292-5620 | 2019-04-17 |
| 1790107456 | Raul Gonzalez Jr. | Social Worker | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2014-01-15 |
| 1710328323 | Raul K Gonzalez | Counselor | 1485 S M-139, Benton Harbor, MI 49022 | 2013-07-11 |
| 1871642058 | Raul Gonzalez | Social Worker | 1933 S Broadway, Los Angeles, CA 90007-4501 | 2007-01-09 |
| 1366503773 | Raul Alberto Gonzalez | Internal Medicine | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2006-12-12 |
| 1356417596 | Raul Gonzalez | Clinical Neuropsychologist | 11200 Sw 8th St, Ahc4 - 461, Miami, FL 33199-2516 | 2006-11-28 |
| Street Address |
446 SW 191ST TER |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33029-5463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417282849 | Pedro Acosta | Physician Assistant | 10682 Sw 8th St, Pembroke Pines, FL 33025-6927 | 2009-10-02 |
| 1013029123 | Edith Ruiz Snelling | Physician Assistant | 601 N Flamingo Road, Suite 408, Pembroke Pines, FL 33028 | 2006-08-31 |
| 1962860312 | Ernesto Rafael Figueroa | Physician Assistant | 8280 Nw 28th St, Pembroke Pines, FL 33024-3185 | 2016-01-31 |
| 1225061781 | Tammy A Dorfman | Physician Assistant | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2006-07-08 |
| 1336187996 | Paul Anthony Licata | Physician Assistant | 601 N Flamingo Rd, Pembroke Pines, FL 33028-1015 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33029 |
Please comment or provide details below to improve the information on DR. RAUL A GONZALEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.