Individual
DR. RUBEN BELISARIO GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1361 FORT HARRISON RD, TERRE HAUTE, IN 47804-1203
(812) 235-4000
(812) 235-4004
Mailing address
3171 S 3RD PL, TERRE HAUTE, IN 47802-3785
(812) 235-4000
(812) 894-4204
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
IN
207R00000X
Internal Medicine Physician
01035596
IN
208M00000X
Hospitalist Physician
Primary
01035596A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100326570
—
IN
Enumeration date
09/20/2006
Last updated
05/24/2021
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