Individual
DR. ROGELIO I GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.PA.
Contact information
Practice address
730 N MAIN AVE, SUITE 408, SAN ANTONIO, TX 78205-1152
(210) 226-8155
(210) 226-8455
Mailing address
730 N MAIN AVE, SUITE 408, SAN ANTONIO, TX 78205-1152
(210) 226-8155
(210) 226-8455
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
F4847
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110676701
—
TX
01
—
2287857
BLUE LINK ID
TX
01
—
4388167
CIGNA
TX
01
—
826023914
RAILROAD MEDICARE
TX
01
—
950843
AETNA
TX
Enumeration date
03/02/2007
Last updated
07/08/2007
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