Individual
ALEXIS GONZALEZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
'UNIVERSIDAD DE PR, RECINTO DE DEPARTAMENTO DE MEDICINA, OCTAVO PISO OFICINA A838, SAN JUAN, PR 00935-0001
(787) 759-8252
Mailing address
6050 STREET 844, VILLAS DEL MONTE BOX 63, SAN JUAN, PR 00926
(787) 374-6257
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19899
PR
281P00000X
Chronic Disease Hospital
32780
PR
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32780
—
PR
Enumeration date
06/12/2013
Last updated
07/16/2019
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