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Mario Enrique Gonzalez Bauza SR., MD
General Practice Physician in Rio Grande, N/A
NPI 1205836301

Mario Enrique Gonzalez Bauza SR. is a General Practice Physician based in Rio Grande, . Mario Enrique Gonzalez Bauza SR. practices in Rio Grande, and has the professional credentials of MD. The NPI Number for Mario Enrique Gonzalez Bauza SR. is 1205836301 and holds a License No. 2010 (N/A).

The current practice location address for Mario Enrique Gonzalez Bauza SR. is 3 Calle Del Carmen, Rio Grande, and can be reached out via phone at 787-887-3259.

Location: 3 Calle Del Carmen, Rio Grande, , 00745-3026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205836301
Provider Name
Mario Enrique Gonzalez Bauza SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3 Calle Del Carmen, Rio Grande, , 00745-3026
Phone Number
787-887-3259
Fax Number
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3 Calle Del Carmen
City
Rio Grande
State
Zip
00745-3026
Phone Number
787-887-3259
Fax Number
person
Provider Business Mailing Address Details
Address
3 Calle Del Carmen
City
Rio Grande
State
Zip
00745-3026
Phone Number
787-887-3259
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
2010 ()
Definition
Definition to come...
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