Active NPI
Imilsy Barzaga Gonzalez
- Rehabilitation Counselor
- Ocoee, FL
National Provider Identifier
1770192361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 225C00000X
- Practice address
- 1004 Marlene Dr
Ocoee, FL 34761-3232 - Phone
- (132) 194-8801
- NPI assigned
- Jul 29, 2020
- Last updated
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 225C00000X | FL | Primary |
Addresses
Primary practice location
1004 Marlene Dr
Ocoee, FL 34761-3232
Mailing address
1004 Marlene Dr
Ocoee, FL 34761-3232
Phone (132) 194-8801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225C00000X | FL | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1770192361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 MARLENE DR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613232",
"telephone_number": "132-194-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 MARLENE DR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613232",
"telephone_number": "132-194-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARZAGA GONZALEZ",
"first_name": "IMILSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "FL",
"license": "225C00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.