MODESTO GONZALEZ

Dr MODESTO GONZALEZ is a male medical professional, specializing in General Practice. He graduated in 1979.

Contact

2 9 CARR 107 KM
AGUADILLA
PR
00603

Tel: 7878917428

MODESTO GONZALEZ Information

Npi 1629087317
Pac Id 9234358573
Professional Enrollment Id I20140918000156
Last Name GONZALEZ
First Name MODESTO
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1979
Primary Specialty GENERAL PRACTICE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2 9 CARR 107 KM
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AGUADILLA
State PR
Zip Code 00603
Phone Number 7878917428
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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