Dr JOSE ENRIQUE GONZALEZ MORENO is a male medical professional, specializing in Internal Medicine. He graduated in 2003.
OFICINA MEDICA PRIMARIA DEL SUR CSP
65 LOCAL ANEXO REMAS AVENIDA
YAUCO
PR
00698
Tel: 7879927199
| Npi | 1154503068 |
| Pac Id | 4789846759 |
| Professional Enrollment Id | I20120509000208 |
| Last Name | GONZALEZ MORENO |
| First Name | JOSE |
| Middle Name | ENRIQUE |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| Organization Legal Name | OFICINA MEDICA PRIMARIA DEL SUR CSP |
| Group Practice Pac Id | 3072813229 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 65 LOCAL ANEXO REMAS AVENIDA |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | YAUCO |
| State | PR |
| Zip Code | 00698 |
| Phone Number | 7879927199 |
| Hospital Affiliation Ccn 1 | 400044 |
| Hospital Affiliation Lbn 1 | SAN LUKE'S MEMORIAL HOSPITAL INC |
| Hospital Affiliation Ccn 2 | 400022 |
| Hospital Affiliation Lbn 2 | HOSPITAL DAMAS INC |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
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