Individual
DR. CARLOS ALBERTO GONZALEZ-BERDECIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
URB. LAS DELICIAS, 1204 CALLE FCO. VASALLO, PONCE, PR 00728-3838
(787) 840-3510
(787) 840-3510
Mailing address
PO BOX 7503, PONCE, PR 00732-7503
(787) 840-3510
(787) 840-3510
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
6748
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061882
CRUZ AZUL
PR
01
—
200049
MEDICARE Y MUCHO MAS
PR
01
—
27891GO
TRIPLE S
PR
01
—
2881
INTERNATIONAL MEDICAL CAR
PR
01
—
3606748
UIA
PR
01
—
7320071
HUMANA
PR
Enumeration date
09/07/2006
Last updated
10/22/2012
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