Individual
DR. LUIS ANTONIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 SPRING ST, SUITE 206, SILVER SPRING, MD 20910-4012
(301) 588-9595
(301) 588-9525
Mailing address
13425 SILVER MOON WAY, SILVER SPRING, MD 20904-1257
(301) 879-8782
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0056791
MD
207R00000X
Internal Medicine Physician
MD034535
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2389415
UNITED HEALTHCARE
MD
01
—
3430563
AETNA HMO
MD
01
—
51807
AMERIGROUP
MD
01
—
783ALA
CARE FIRST BCBS
MD
01
—
7980239
AETNA PPO
MD
01
—
8128088
MAMSI OPTIMUM CHOICE
MD
01
—
J730
CARE FIRST BCBS
DC
Enumeration date
09/22/2006
Last updated
10/12/2007
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