Individual
DR. CARLOS R. GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 281-1550
(520) 281-1112
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 281-1550
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15471
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
249715
—
AZ
01
—
P00376509
RR MEDICARE
AZ
Enumeration date
03/09/2006
Last updated
05/29/2008
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