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Connie Remolina Gonzalez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

19590 Old Cutler Rd, Cutler Bay, FL 33157-8048

PECOS Enrollment

Based on the most recent information from CMS, provider Connie Remolina Gonzalez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1992729065
Provider Type
Individual
Full Name
Gonzalez, Connie Remolina
Gender
Female

Sole Proprietor
No
Enumeration Date
7/26/2006
Last Updated
8/26/2011

Contact Information

Practice Location

19590 Old Cutler Rd, Cutler Bay, FL 33157-8048

(786) 466-3500

Unlisted Fax

Mailing Location

19590 Old Cutler Rd, Cutler Bay, FL 33157-8048

1864663500

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP1428932 Florida

Provider Identifiers

ID	Description	Issuer
ID 3032761-00	Description Medicaid	Issuer Unlisted Florida
ID 20104	Description Other	Issuer JMH ID # Florida

Connie Remolina Gonzalez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Suarez Curro, Yoemma

Russo, Ana

Hawkins, Micha Kim

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Leon Leon, Rainel

Bertin, Martha Lucilla

Hernandez, Tatiana Hidalgo