Provider Demographics
NPI:1841187382
Name:GONZALEZ, MARIA CARLOTA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CARLOTA
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 1:10709 S 17TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-5072
Mailing Address - Country:US
Mailing Address - Phone:402-708-2960
Mailing Address - Fax:
Practice Address - Street 1:10709 S 17TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-5072
Practice Address - Country:US
Practice Address - Phone:402-708-2960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker