Provider Demographics
NPI:1972338556
Name:GONZALEZ RODRIGUEZ, ANA GLORIA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:GLORIA
Last Name:GONZALEZ RODRIGUEZ
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 1:3705 SW 52ND AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33023-6980
Mailing Address - Country:US
Mailing Address - Phone:786-705-5124
Mailing Address - Fax:
Practice Address - Street 1:3705 SW 52ND AVE APT 102
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33023-6980
Practice Address - Country:US
Practice Address - Phone:786-705-5124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant