Individual
RICARDO JUAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2005 SIERRA HIGHLANDS DR, STE 101, RENO, NV 89523-2301
(775) 624-6000
(775) 624-6010
Mailing address
2005 SIERRA HIGHLANDS DR, STE 101, RENO, NV 89523-2301
(775) 624-6000
(775) 624-6010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10279
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BE9184
MEDICARE PTAN
NV
01
—
P00963848
MEDICARE RR
NV
Enumeration date
02/09/2006
Last updated
10/25/2017
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