Active NPIIndividual providerSole proprietor

Dr. Grace M Gonzalez, PHYSICIAN ASSISTANT

Physician Assistant, Medical in Arecibo, Puerto Rico

NPI Number1174124929
Practice location
Rodriguez Olmo, Calle Armando Vega Colon, Numero 25, Arecibo, PR 00612
Fax
—
Last updated
November 11, 2020

Grace Marie Gonzalez is a Physician Assistant, Medical based in Arecibo, PR. Grace Marie Gonzalez practices in Arecibo, PR and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Grace Marie Gonzalez is 1174124929 and holds a License No. 000539-PA (PR). The current practice location address for Grace Marie Gonzalez is Rodriguez Olmo, Calle Armando Vega Colon, Numero 25, Arecibo, PR 00612 and can be reached out via phone at 939-491-0265.

Provider Profile Details

NPI Number
1174124929
Provider Name
Grace Marie Gonzalez
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
Rodriguez Olmo, Calle Armando Vega Colon, Numero 25, Arecibo, PR 00612
Phone Number
939-491-0265
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 6, 2020
Last Update Date
November 11, 2020
Certification Date
November 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Rodriguez Olmo, Calle Armando Vega Colon
Numero 25
Arecibo, PR 00612
Zip
00612
Phone Number
939-491-0265
Arecibo, PR 00612Get directions →

Provider Business Mailing Address Details

Address
Rodriguez Olmo Calle Armando Vega Colon
No. 25
Arecibo, PR 00612
City
Arecibo
State
PR
Zip
00612
Phone Number
939-491-0265

License Information

License Number
000539-PA
License State
PR
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Dr. Grace M Gonzalez, PHYSICIAN ASSISTANT?

The NPI number of Dr. Grace M Gonzalez, PHYSICIAN ASSISTANT is 1174124929. It was assigned on November 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Grace M Gonzalez, PHYSICIAN ASSISTANT?

Dr. Grace M Gonzalez, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PR under license number 000539-PA.

Where does Dr. Grace M Gonzalez, PHYSICIAN ASSISTANT practice?

The practice location is Rodriguez Olmo, Calle Armando Vega Colon, Numero 25, Arecibo, PR 00612. The office can be reached at 939-491-0265 (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 1174124929 directly on the NPPES registry website.

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