Doctor Name: | MISS MANUEL GONZALEZ |
NPI Number: | 1215010087 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 10283 |
Business Practice Address: | Calle Riefkhol 1a Patillas, PR - 00723 |
Business Phone Number: | 7872045480 |
Business Fax Number: | 7878399344 |
Mailing Address: | Po Box 1300, PATILLAS |
State: | PR |
Postal Code: | 007231300 |
Phone Number: | 7872045480 |
Fax Number: | 7878399344 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 05/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 10283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |