Individual
PETER G. GONZALEZ
Active
Individual
PETER G. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101246363
VA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
0101246363
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-017
TRICARE/CHAMPUS
VA
01
—
10053837
OPTIMA HEALTH
VA
01
—
1790878148
UNITED HEALTHCARE
VA
05
—
1790878148
—
VA
01
—
388453
ANTHEM BC/BS
VA
05
—
5913812
—
NC
01
—
PAR
AETNA
VA
Enumeration date
09/30/2006
Last updated
05/06/2014
Update your record
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