Doctor Name: | MRS. MARIA IVETTE GONZALEZ |
NPI Number: | 1033180179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4225 |
Business Practice Address: | 179 Calle San Rafael Aguadilla, PR - 006035877 |
Business Phone Number: | 7878943226 |
Business Fax Number: | 7876507304 |
Mailing Address: | Po Box 250144, Ramey AGUADILLA |
State: | PR |
Postal Code: | 006040144 |
Phone Number: | 7878943226 |
Fax Number: | 7876507304 |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 170100000X |
License Number: | 4225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Medical Genetics, Ph.D. Medical Genetics |
Taxonomy Specialization: | |
Taxonomy Definition: | A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |