Individual
DR. LUIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6741
Mailing address
CALLE SAN ISIDRO #O-1 URB. MARIOLGA, CAGUAS, PR 00725
(939) 218-5277
(787) 744-1059
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17,313
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17,313
REGULAR LICENSE FROM PUERTO RICO BOARD OF MEDICAL EXAMINERS
PR
Enumeration date
08/28/2008
Last updated
02/26/2014
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