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Individual
DR. MARIA I CORDOVA - GONZALEZ
Active
Individual
DR. MARIA I CORDOVA - GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20819
PR
2084P0800X
Psychiatry Physician
266938
MA
2084P0800X
Psychiatry Physician
A166630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020819
STATE LICENSE
PR
01
—
2021-00445
STATE LICENSE
NC
01
—
266938
STATE LICENSE
MA
01
—
A166630
STATE LICENSE
CA
01
—
ME143381
STATE LICENSE
FL
01
—
S4120
STATE LICENSE
TX
Enumeration date
09/15/2010
Last updated
03/29/2021
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