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Contact Information

CARLOS J GONZALEZ SR, MD
2367 CALLE LOMA
URB. VALLE ALTO
PONCE, PR00730-4146
 Phone: 787-595-0612
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for CARLOS J GONZALEZ SR · (Male)

NPI Number 1124426242
Status Active
Credentials MD
Entity Individual
Enumeration date 12/06/2014
Last updated 09/30/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • PR License # 13614
  • PR License # 19154
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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