Individual
PAMELA CONSTANZA GONZALEZ MANRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
480 MEDICAL CENTER DR BLDG S2054, COLUMBUS, OH 43210-1229
(614) 293-4837
Mailing address
480 MEDICAL CENTER DR BLDG S2054, COLUMBUS, OH 43210-1229
(614) 293-4837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CLP05419
RI
207RR0500X
Rheumatology Physician
Primary
57.257420
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G64596142925825
DRIVING LICENCE
—
Enumeration date
07/11/2021
Last updated
08/08/2025
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