Individual
DR. JUAN CARLOS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
068737
GA
2084N0400X
Neurology Physician
Primary
068737
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01934817
AMERIGROUP
GA
01
—
1072595
WELLCARE
GA
05
—
512581223F
—
GA
01
—
P01332068
RR MEDICARE
GA
Enumeration date
09/16/2006
Last updated
11/04/2025
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