Active NPIIndividual providerSole proprietor

Bryan G Gonzalez

Registered Nurse, General Practice in Carolina, Puerto Rico

NPI Number1104669373
Practice location
D173 Calle Republica Dominica, Carolina, PR 00987-7009
Fax
—
Last updated
June 17, 2024

Bryan Gregory Gonzalez is a Registered Nurse, General Practice based in Carolina, PR. Bryan Gregory Gonzalez practices in Carolina, PR. The NPI Number for Bryan Gregory Gonzalez is 1104669373 and holds a License No. 82639 (PR). The current practice location address for Bryan Gregory Gonzalez is D173 Calle Republica Dominica, Carolina, PR 00987-7009 and can be reached out via phone at 787-585-9111.

Provider Profile Details

NPI Number
1104669373
Provider Name
Bryan Gregory Gonzalez
Provider Entity Type
Individual
Gender
Male
Address
D173 Calle Republica Dominica, Carolina, PR 00987-7009
Phone Number
787-585-9111
Primary Taxonomy
Registered Nurse, General Practice · 163WG0000X
Sole Proprietor
Yes
Provider Enumeration Date
June 17, 2024
Last Update Date
June 17, 2024
Certification Date
June 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
D173 Calle Republica Dominica
Carolina, PR 00987-7009
Zip
00987-7009
Phone Number
787-585-9111
Carolina, PR 00987Get directions →

Provider Business Mailing Address Details

Address
D173 Calle Republica Dominica
Carolina, PR 00987-7009
City
Carolina
State
PR
Zip
00987-7009
Phone Number
787-585-9111

License Information

License Number
82639
License State
PR
Taxonomy
Registered Nurse, General Practice · 163WG0000X · Primary

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 Bryan G Gonzalez?

The NPI number of Bryan G Gonzalez is 1104669373. It was assigned on June 17, 2024 and is currently active in the NPPES registry.

What is the specialty of Bryan G Gonzalez?

Bryan G Gonzalez is registered under the primary taxonomy Registered Nurse, General Practice (code 163WG0000X), licensed in PR under license number 82639.

Where does Bryan G Gonzalez practice?

The practice location is D173 Calle Republica Dominica, Carolina, PR 00987-7009. The office can be reached at 787-585-9111 (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 1104669373 directly on the NPPES registry website.

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