Active NPIIndividual providerSole proprietor

Moldavia O Tavarez Gonzalez, MD

General Practice in Aguas Buenas, Puerto Rico

NPI Number1457092405
Practice location
5 Calle Albizu Campos, Aguas Buenas, PR 00703-3102
Fax
—
Last updated
July 21, 2023

Moldavia O. Tavarez Gonzalez is a General Practice based in Aguas Buenas, PR. Moldavia O. Tavarez Gonzalez practices in Aguas Buenas, PR and has the professional credentials of MD. The NPI Number for Moldavia O. Tavarez Gonzalez is 1457092405 and holds a License No. 23264 (PR). The current practice location address for Moldavia O. Tavarez Gonzalez is 5 Calle Albizu Campos, Aguas Buenas, PR 00703-3102 and can be reached out via phone at 787-732-8595.

Provider Profile Details

NPI Number
1457092405
Provider Name
Moldavia O. Tavarez Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5 Calle Albizu Campos, Aguas Buenas, PR 00703-3102
Phone Number
787-732-8595
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 5, 2022
Last Update Date
July 21, 2023
Certification Date
July 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Calle Albizu Campos
Aguas Buenas, PR 00703-3102
Zip
00703-3102
Phone Number
787-732-8595
Aguas Buenas, PR 00703Get directions →

Provider Business Mailing Address Details

Address
Po Box 243
Aguas Buenas, PR 00703-0243
City
Aguas Buenas
State
PR
Zip
00703-0243
Phone Number
787-422-8491

License Information

License Number
23264
License State
PR
Taxonomy
General Practice · 208D00000X · 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 Moldavia O Tavarez Gonzalez, MD?

The NPI number of Moldavia O Tavarez Gonzalez, MD is 1457092405. It was assigned on April 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Moldavia O Tavarez Gonzalez, MD?

Moldavia O Tavarez Gonzalez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 23264.

Where does Moldavia O Tavarez Gonzalez, MD practice?

The practice location is 5 Calle Albizu Campos, Aguas Buenas, PR 00703-3102. The office can be reached at 787-732-8595 (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 1457092405 directly on the NPPES registry website.

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