Individual
DR. JUAN A. ASENSIO-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACS, FCCM, FR
Contact information
Practice address
920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572-4181
(843) 497-6348
(843) 497-6351
Mailing address
920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572-4181
(843) 497-6348
(843) 497-6351
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
72444
GA
2086S0102X
Surgical Critical Care Physician
91224
SC
2086S0127X
Trauma Surgery Physician
264501
NY
2086S0127X
Trauma Surgery Physician
28147
NE
2086S0127X
Trauma Surgery Physician
Primary
91224
SC
2086S0127X
Trauma Surgery Physician
ME95504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01168327
—
NY
Enumeration date
05/02/2006
Last updated
03/13/2024
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