Active NPIIndividual providerSole proprietor

Michelle I Surillo-Gonzalez, MD

Emergency Medicine in San Juan, Puerto Rico

NPI Number1538613468
Practice location
10 Calle Casia, San Juan, PR 00921-3200
Fax
—
Last updated
August 21, 2020

Michelle Ileana Surillo-Gonzalez is an Emergency Medicine based in San Juan, PR. Michelle Ileana Surillo-Gonzalez practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Michelle Ileana Surillo-Gonzalez is 1538613468 and holds a License No. 299368 (NY). The current practice location address for Michelle Ileana Surillo-Gonzalez is 10 Calle Casia, San Juan, PR 00921-3200 and can be reached out via phone at 787-641-7582.

Provider Profile Details

NPI Number
1538613468
Provider Name
Michelle Ileana Surillo-Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
10 Calle Casia, San Juan, PR 00921-3200
Phone Number
787-641-7582
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 9, 2016
Last Update Date
August 21, 2020
Certification Date
August 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Calle Casia
San Juan, PR 00921-3200
Zip
00921-3200
Phone Number
787-641-7582
San Juan, PR 00921Get directions →

Provider Business Mailing Address Details

Address
Po Box 331948
Ponce, PR 00733-1948
City
Ponce
State
PR
Zip
00733-1948
Phone Number
787-448-8845

License Information

License Number (1)
299368
License State (1)
NY
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
21909
License State (2)
PR
Taxonomy (2)
Emergency Medicine · 207P00000X · 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 Michelle I Surillo-Gonzalez, MD?

The NPI number of Michelle I Surillo-Gonzalez, MD is 1538613468. It was assigned on August 9, 2016 and is currently active in the NPPES registry.

What is the specialty of Michelle I Surillo-Gonzalez, MD?

Michelle I Surillo-Gonzalez, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NY under license number 299368.

Where does Michelle I Surillo-Gonzalez, MD practice?

The practice location is 10 Calle Casia, San Juan, PR 00921-3200. The office can be reached at 787-641-7582 (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 1538613468 directly on the NPPES registry website.

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