Rene Daniel Gamboa, L.M.H.C., B.C.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9340 Issued in FL

Practice address

27321 SW 140TH CT
Homestead, FL 33032-8842

Phone

(786) 586-8215

NPI assigned

Feb 27, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1508035296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27321 SW 140TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328842",
            "telephone_number": "786-586-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27321 SW 140TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328842",
            "telephone_number": "786-586-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "RENE",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "L.M.H.C., B.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Galvan
• Lisandra Galvez Garcia
• Ingrid I Galvez Viera, RBT
• Geydi Leyanis Gamboa Jimenez I, RBT
• Angel Gamboa Torres
• Yunisleidys Gamez
• Junaivys Gandarilla
• Michelangel Garate Carmenate
• Beatriz Garay
• Rafael Garay

• Mental Health Counselor in Homestead, FL
• Providers in Homestead, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.