# DR. ROGELIO I GONZALEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548399199
- **Gender:** Man
- **Credential:** M.D.PA.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | F4847 | TX | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110676701 | — | TX |
| 01 | — | 2287857 | BLUE LINK ID | TX |
| 01 | — | 4388167 | CIGNA | TX |
| 01 | — | 826023914 | RAILROAD MEDICARE | TX |
| 01 | — | 950843 | AETNA | TX |