Individual
MANUEL JOSE ROVIRA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2092 W PENN PIKE, NEW RINGGOLD, PA 17960-9398
(272) 639-5370
Mailing address
2092 W PENN PIKE, NEW RINGGOLD, PA 17960-9398
(272) 639-5370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD490593
PA
207RN0300X
Nephrology Physician
Primary
MD490593
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD490593
—
PA
Enumeration date
02/12/2020
Last updated
02/25/2026
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