Individual
ERNESTO R GONZALEZ
Active
Individual
ERNESTO R GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101051054
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006032265
—
VA
01
—
006895400
BLACK LUNG PROVIDER NUMBE
VA
01
—
021787
CIGNA PROVIDER NUMBER
VA
01
—
11795
CARENET PROVIDER NUMBER
VA
01
—
271532
ANTHEM PROVIDER NUMBER
VA
01
—
290008474
MEDICARE RAILROAD
VA
01
—
4800711
UNITED HEALTHCARE
VA
01
—
557515
AETNA NON HMO
VA
01
—
7015005
MAMSI
VA
01
—
71865
SOUTHERN HEALTH
VA
Enumeration date
07/14/2006
Last updated
04/26/2023
Update your record
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