Individual
DR. ROBERTO L GONZALEZ-SALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 AVE L MUNOZ MARIN, QUADRANGLE MEDICAL CENTER, SUITE 208, CAGUAS, PR 00725-3975
(787) 746-1688
(787) 746-2292
Mailing address
PO BOX 1754, CAGUAS, PR 00726-1754
(787) 746-1688
(787) 746-2292
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8236
PR
2085U0001X
Diagnostic Ultrasound Physician
8236
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29872
MEDICARE
PR
01
—
M6869
CRUZ AZUL DE PR PROVIDER
PR
Enumeration date
04/19/2007
Last updated
08/19/2009
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