Provider Demographics
NPI:1871387506
Name:GONZALEZ PEREZ, MABEL
Entity type:Individual
Prefix:MRS
First Name:MABEL
Middle Name:
Last Name:GONZALEZ PEREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 NW 40TH CT UNIT A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5746
Mailing Address - Country:US
Mailing Address - Phone:305-519-5080
Mailing Address - Fax:
Practice Address - Street 1:270 NW 40TH CT UNIT A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5746
Practice Address - Country:US
Practice Address - Phone:305-519-5080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician