Doctor Name: | INGRID GONZALEZ |
NPI Number: | 1396939708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 16825 |
Business Practice Address: | 8 Calle Luis Munoz Marin Hormigueros, PR - 006601722 |
Business Phone Number: | 7878331266 |
Business Fax Number: | 7878331266 |
Mailing Address: | Urb Valle Hermoso Rosa St Sd1, HORMIGUEROS |
State: | PR |
Postal Code: | 006601238 |
Phone Number: | 7878331266 |
Fax Number: | 7878331266 |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16825 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |