Individual ProviderLilian GonzalezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6705 SW 57th Ave, Suite 400, South Miami, FL 33143-3622(305) 668-8201(305) 479-9721PECOS EnrollmentBased on the most recent information from CMS, provider Lilian 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 today at 10:37 AM.Profile DetailsProvider ID1982773800Provider TypeIndividualFull NameGonzalez, LilianTitleMrs.CredentialA.R.N.PGenderFemaleSole ProprietorYesEnumeration Date11/7/2006Last Updated1/20/2016Contact InformationPractice LocationPractice Address6705 SW 57th Ave, Suite 400, South Miami, FL 33143-3622Phone(305) 668-8201Fax(305) 668-8997Mailing LocationMailing Address10041 SW 98th Ave, Miami, FL 33176-2817Phone(305) 479-9721Fax(605) 668-8997Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2213652Florida