Provider Demographics
NPI:1245103613
Name:GONZALEZ, GABRIELLA DEL ROSARIO (PA)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:DEL ROSARIO
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6560 NW 7TH ST APT 717
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4481
Mailing Address - Country:US
Mailing Address - Phone:786-343-6832
Mailing Address - Fax:
Practice Address - Street 1:6560 NW 7TH ST APT 717
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4481
Practice Address - Country:US
Practice Address - Phone:786-343-6832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant