| Doctor Name: | MR. NERVIS A GONZALEZ |
| NPI Number: | 1205960085 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 11009 |
| Business Practice Address: | Sector Bairoa La 25 Caguas, PR - 00725 |
| Business Phone Number: | 7877450685 |
| Business Fax Number: | 7877450410 |
| Mailing Address: | Ab21 Calle 15 Urb Colinas De Montecarlo, SAN JUAN |
| State: | PR |
| Postal Code: | 00924 |
| Phone Number: | 7877695309 |
| Fax Number: | 7877695309 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 11009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |