Mauricio Oscar Gonzalez Reynaldo Sr., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT20252 Issued in FL

Practice address

6165 SW 130TH Ave Apt 1310
Miami, FL 33183-5234

Phone

(786) 370-8729

Fax

(305) 830-9043

NPI assigned

Jun 6, 2017

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mia Therapy Pro Inc

  • Clinic/Center
  • Miami, FL
  • NPI 1417596818
  NPD

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1962931717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 SW 130TH AVE APT 1310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835234",
            "telephone_number": "786-370-8729",
            "fax_number": "305-830-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 SW 130TH AVE APT 1310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835234",
            "telephone_number": "786-370-8729",
            "fax_number": "305-830-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ REYNALDO",
        "first_name": "MAURICIO",
        "middle_name": "OSCAR",
        "name_suffix": "Sr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT20252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeth Gonzalez Restrepo
• Lena Gonzalez Revolta
• Leidy Maria Gonzalez Rey
• Felix Michel Gonzalez Reyes
• Daniela Gonzalez Reyna
• Monica Gonzalez Ricardo
• Dailin Amelia Gonzalez Riquenes
• Yenisleidy Gonzalez Rivero
• Mahara Gonzalez Rizo
• Amarilys Gonzalez Rodriguez

• Occupational Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.