Active NPIIndividual providerSole proprietor

Modesto J Gonzalez, MD

General Practice in Aguadilla, Puerto Rico

NPI Number1629087317
Practice location
Carr 107 Km 2 9, Bo Borinquen, Aguadilla, PR 00603
Fax
787-891-7428
Last updated
May 20, 2022

Modesto J Gonzalez is a General Practice based in Aguadilla, PR. Modesto J Gonzalez practices in Aguadilla, PR and has the professional credentials of MD. The NPI Number for Modesto J Gonzalez is 1629087317 and holds a License No. 6296 (PR). The current practice location address for Modesto J Gonzalez is Carr 107 Km 2 9, Bo Borinquen, Aguadilla, PR 00603 and can be reached out via phone at 787-891-7428 and via fax at 787-891-7428.

Provider Profile Details

NPI Number
1629087317
Provider Name
Modesto J Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Carr 107 Km 2 9, Bo Borinquen, Aguadilla, PR 00603
Phone Number
787-891-7428
Fax Number
787-891-7428
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 5, 2006
Last Update Date
May 20, 2022
Certification Date
May 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr 107 Km 2 9
Bo Borinquen
Aguadilla, PR 00603
Zip
00603
Phone Number
787-891-7428
Fax Number
787-891-7428
Aguadilla, PR 00603Get directions →

Provider Business Mailing Address Details

Address
Po Box 250128
Aguadilla, PR 00604-0128
City
Aguadilla
State
PR
Zip
00604-0128
Phone Number
787-891-7428
Fax Number
787-891-7428

License Information

License Number
6296
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 Modesto J Gonzalez, MD?

The NPI number of Modesto J Gonzalez, MD is 1629087317. It was assigned on August 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Modesto J Gonzalez, MD?

Modesto J Gonzalez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 6296.

Where does Modesto J Gonzalez, MD practice?

The practice location is Carr 107 Km 2 9, Bo Borinquen, Aguadilla, PR 00603. The office can be reached at 787-891-7428 (phone) or 787-891-7428 (fax).

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 1629087317 directly on the NPPES registry website.

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