Individual
DR. LUIS ANTONIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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