Provider Demographics
NPI:1487802963
Name:NAVIA GONZALEZ, VERONICA (MS OTR/L)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:NAVIA GONZALEZ
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15905 SW 72ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-2938
Mailing Address - Country:US
Mailing Address - Phone:786-514-9630
Mailing Address - Fax:305-221-9630
Practice Address - Street 1:15905 SW 72ND TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-2938
Practice Address - Country:US
Practice Address - Phone:786-514-9630
Practice Address - Fax:305-221-9630
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12863225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist