Doctor Name: | LUIS F GONZALEZ |
NPI Number: | 1043266869 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 042-0009728 |
Business Practice Address: | 133 Fairfield St St Albans, VT - 054781726 |
Business Phone Number: | 8025241058 |
Business Fax Number: | 8025241289 |
Mailing Address: | Po Box 846170, BOSTON |
State: | MA |
Postal Code: | 022846170 |
Phone Number: | 8025241058 |
Fax Number: | 8025241289 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 05/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 042-0009728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |