Individual
DR. JUAN RAFAEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
502 BALDORIOTY ST, ISABEL II, VIEQUES, PR 00765
(787) 318-7376
Mailing address
PO BOX 608, VIEQUES, PR 00765-0608
(787) 318-7376
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-022361
IL
122300000X
Dentist
042540
NY
122300000X
Dentist
17336-9
TX
122300000X
Dentist
Primary
30-022496
OH
122300000X
Dentist
856
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008682
REGISTRATION NUM.
PR
01
—
856
DENTAL LICENCE
PR
Enumeration date
08/15/2006
Last updated
07/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us