Individual
DORCAS GONZALEZ ANDUJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 W NORTHWEST HWY STE 100, GRAPEVINE, TX 76051-8131
(817) 912-0442
Mailing address
PO BOX 1564, MANATI, PR 00674-1564
(787) 365-5600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
V3006
TX
390200000X
Student in an Organized Health Care Education/Training Program
14,240-I
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14,240-I
PUERTO RICO BOARD OF LICENSING AND MEDICAL DISCIPLINES
PR
Enumeration date
09/08/2016
Last updated
08/08/2024
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