Active NPIIndividual providerSole proprietor

Dr. Grettel D Gonzalez Garcia, MD

Student in an Organized Health Care Education/Training Program in Newark, New Jersey

NPI Number1023667565
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
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Last updated
March 22, 2022

Grettel De La Caridad Gonzalez Garcia is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Grettel De La Caridad Gonzalez Garcia practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Grettel De La Caridad Gonzalez Garcia is 1023667565 and holds a License No. 19-212 (FL). The current practice location address for Grettel De La Caridad Gonzalez Garcia is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7425.

Provider Profile Details

NPI Number
1023667565
Provider Name
Grettel De La Caridad Gonzalez Garcia
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
973-926-7425
Sole Proprietor
Yes
Provider Enumeration Date
September 7, 2019
Last Update Date
March 22, 2022
Certification Date
March 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-7425
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
525 W 69TH St Apt 311
Hialeah, FL 33014-4916
City
Hialeah
State
FL
Zip
33014-4916
Phone Number
305-915-6215

License Information

License Number (1)
19-212
License State (1)
FL

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Grettel D Gonzalez Garcia, MD?

The NPI number of Dr. Grettel D Gonzalez Garcia, MD is 1023667565. It was assigned on September 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Grettel D Gonzalez Garcia, MD?

Dr. Grettel D Gonzalez Garcia, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in FL under license number 19-212.

Where does Dr. Grettel D Gonzalez Garcia, MD practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7425 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023667565 directly on the NPPES registry website.

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