Individual ProviderJorge Aguiar GonzalezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9855 E Fern St, Palmetto Bay, FL 33157-5413(786) 404-1008(786) 506-6080PECOS EnrollmentBased on the most recent information from CMS, provider Jorge Aguiar Gonzalez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1689495624Provider TypeIndividualFull NameAguiar Gonzalez, JorgeCredentialAPRNGenderMaleSole ProprietorYesEnumeration Date10/22/2024Last Updated2/27/2026Contact InformationPractice LocationPractice Address9855 E Fern St, Palmetto Bay, FL 33157-5413Phone(786) 404-1008Fax(786) 600-1961Mailing LocationMailing Address1480 NE 33rd Ave Unit 102, Homestead, FL 33033-6133Phone(786) 506-6080FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11036073Florida