Provider Demographics
NPI:1427477082
Name:GONZALEZ, FLORINDA
Entity type:Individual
Prefix:
First Name:FLORINDA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 W MILE 3 RD
Mailing Address - Street 2:STE. 1700
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-4255
Mailing Address - Country:US
Mailing Address - Phone:956-519-4809
Mailing Address - Fax:956-519-4834
Practice Address - Street 1:1905 W MILE 3 RD
Practice Address - Street 2:STE. 1700
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-4255
Practice Address - Country:US
Practice Address - Phone:956-519-4809
Practice Address - Fax:956-519-4834
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide