Active NPIIndividual providerSole proprietor

Dr. Eladio Roman Gonzalez, DMD

Dentist, General Practice in Altos, Puerto Rico

NPI Number1730180811
Practice location
Ave Jose De Diego, #323, Altos, PR 00613-2017
Fax
—
Last updated
October 17, 2016

Eladio Roman Gonzalez is a Dentist, General Practice based in Altos, PR. Eladio Roman Gonzalez practices in Altos, PR and has the professional credentials of DMD. The NPI Number for Eladio Roman Gonzalez is 1730180811 and holds a License No. 936 (PR). The current practice location address for Eladio Roman Gonzalez is Ave Jose De Diego, #323, Altos, PR 00613-2017 and can be reached out via phone at 787-878-1831.

Provider Profile Details

NPI Number
1730180811
Provider Name
Eladio Roman Gonzalez
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
Ave Jose De Diego, #323, Altos, PR 00613-2017
Phone Number
787-878-1831
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 10, 2005
Last Update Date
October 17, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
Ave Jose De Diego
#323
Altos, PR 00613-2017
City
Altos
Zip
00613-2017
Phone Number
787-878-1831
Altos, PR 00613Get directions →

Provider Business Mailing Address Details

Address
Po Box 2017
Dr. Eladio Roman G.
Arecibo, PR 00613-2017
City
Arecibo
State
PR
Zip
00613-2017
Phone Number
787-878-1831

License Information

License Number
936
License State
PR
Taxonomy
Dentist, General Practice · 1223G0001X · 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. Eladio Roman Gonzalez, DMD?

The NPI number of Dr. Eladio Roman Gonzalez, DMD is 1730180811. It was assigned on August 10, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Eladio Roman Gonzalez, DMD?

Dr. Eladio Roman Gonzalez, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 936.

Where does Dr. Eladio Roman Gonzalez, DMD practice?

The practice location is Ave Jose De Diego, #323, Altos, PR 00613-2017. The office can be reached at 787-878-1831 (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 1730180811 directly on the NPPES registry website.

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