| Doctor Name: | DR. DORABELLE GONZALEZ |
| NPI Number: | 1043408750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 5557 |
| Business Practice Address: | Corporacion Del Fondo Del Seguro Del Estado Ave. Miramar Carr. #2 Km. 78.7 Arecibo, PR - 006144055 |
| Business Phone Number: | 7878785757 |
| Business Fax Number: | 7878173557 |
| Mailing Address: | Po Box 144055, Ave. Miramar Carr. #2 Km. 78.7 ARECIBO |
| State: | PR |
| Postal Code: | 006144055 |
| Phone Number: | 7878785757 |
| Fax Number: | 7878173557 |
| NPI Enumeration Date: | 10/09/2007 |
| NPI Last Update Date: | 10/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5557 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |