| Mauricio Oscar Gonzalez Reynaldo Sr, OTR/L | |
|
5470 W 16th Ave, Hialeah, FL 33012-2105 | |
| (305) 456-2646 | |
| (305) 967-8442 |
| Full Name | Mauricio Oscar Gonzalez Reynaldo Sr |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 5470 W 16th Ave, Hialeah, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962931717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT20252 (Florida) | Primary |
| Provider Name | Angel Speech And Therapy Services Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023413440 PECOS PAC ID: 0244520153 Enrollment ID: O20160606001941 |
| Mailing Address | Practice Location Address |
|---|---|
| Mauricio Oscar Gonzalez Reynaldo Sr, OTR/L 940 Nw 8th Street Rd Apt 2, Miami, FL 33136-3134 Ph: (786) 370-8729 | Mauricio Oscar Gonzalez Reynaldo Sr, OTR/L 5470 W 16th Ave, Hialeah, FL 33012-2105 Ph: (305) 456-2646 |
Martha Azucena Diaz, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 W 49 St, Suite 450, Hialeah, FL 33012 Phone: 305-821-4020 Fax: 305-821-1125 | |
My Therapy Spot Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18822 Nw 80th Ct, Hialeah, FL 33015 Phone: 305-440-0785 | |
Ms. Niloufar Neshat, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 651 E 25th St, Hialeah, FL 33013 Phone: 305-835-4581 Fax: 305-835-4756 | |
Melissa Fernandez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1550 W 84th St, #58, Hialeah, FL 33014 Phone: 305-985-6122 | |
Leisy Morales, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 W Okeechobee Rd, Hialeah, FL 33016 Phone: 305-556-9900 | |
Stephanie Gonzalez, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 W 49th St Ste 332, Hialeah, FL 33012 Phone: 786-789-5305 Fax: 786-789-5315 | |
Diana Carolina Zamudio Espinosa, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5931 Nw 173rd Dr Unit 10, Hialeah, FL 33015 Phone: 305-826-7884 |