Active NPIIndividual providerSole proprietor

Dr. Juan R Gonzalez, DMD

Dentist in Vieques, Puerto Rico

NPI Number1437162724
Practice location
502 Baldorioty St, Isabel II, Vieques, PR 00765
Fax
—
Last updated
July 12, 2012

Juan Rafael Gonzalez is a Dentist based in Vieques, PR. Juan Rafael Gonzalez practices in Vieques, PR and has the professional credentials of DMD. The NPI Number for Juan Rafael Gonzalez is 1437162724 and holds a License No. 856 (PR). The current practice location address for Juan Rafael Gonzalez is 502 Baldorioty St, Isabel II, Vieques, PR 00765 and can be reached out via phone at 787-318-7376.

Provider Profile Details

NPI Number
1437162724
Provider Name
Juan Rafael Gonzalez
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
502 Baldorioty St, Isabel II, Vieques, PR 00765
Phone Number
787-318-7376
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2006
Last Update Date
July 12, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
502 Baldorioty St
Isabel II
Vieques, PR 00765
Zip
00765
Phone Number
787-318-7376
Vieques, PR 00765Get directions →

Provider Business Mailing Address Details

Address
Po Box 608
Vieques, PR 00765-0608
City
Vieques
State
PR
Zip
00765-0608
Phone Number
787-318-7376

License Information

License Number (1)
856
License State (1)
PR
Taxonomy (1)
Dentist · 122300000X
License Number (2)
042540
License State (2)
NY
Taxonomy (2)
Dentist · 122300000X
License Number (3)
17336-9
License State (3)
TX
Taxonomy (3)
Dentist · 122300000X
License Number (4)
019-022361
License State (4)
IL
Taxonomy (4)
Dentist · 122300000X
License Number (5)
30-022496
License State (5)
OH
Taxonomy (5)
Dentist · 122300000X · 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. Juan R Gonzalez, DMD?

The NPI number of Dr. Juan R Gonzalez, DMD is 1437162724. It was assigned on August 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Juan R Gonzalez, DMD?

Dr. Juan R Gonzalez, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in PR under license number 856.

Where does Dr. Juan R Gonzalez, DMD practice?

The practice location is 502 Baldorioty St, Isabel II, Vieques, PR 00765. The office can be reached at 787-318-7376 (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 1437162724 directly on the NPPES registry website.

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