| Doctor Name: | DR. ADOLFO GONZALEZ SAC |
| NPI Number: | 1124047279 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 12955 |
| Business Practice Address: | 408 Calle Almirante Mayaguez, PR - 006826242 |
| Business Phone Number: | 7872416256 |
| Business Fax Number: | |
| Mailing Address: | 408 Calle Almirante, MAYAGUEZ |
| State: | PR |
| Postal Code: | 006826242 |
| Phone Number: | 7872416256 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12955 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |