1992753420 NPI number — DR. ANARDA GONZALEZ - RODRIGUEZ MD

Table of content: DR. ANARDA GONZALEZ - RODRIGUEZ MD (NPI 1992753420)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992753420 NPI number — DR. ANARDA GONZALEZ - RODRIGUEZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GONZALEZ - RODRIGUEZ
Provider First Name:
ANARDA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GONZALEZ DE PESANTE
Provider Other First Name:
ANARDA
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1992753420
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
C11 CALLE 37
Provider Second Line Business Mailing Address:
COLINAS DE MONTECARLO
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00924-5802
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-758-2525
Provider Business Mailing Address Fax Number:
787-754-0710

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
LAB. PATOLOGIA DR. NOY
Provider Second Line Business Practice Location Address:
CAPITAL CENTER BLD TORRE #1 SUITE 1A - SOTANO
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00925-2470
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-751-1312
Provider Business Practice Location Address Fax Number:
787-756-0575
Provider Enumeration Date:
05/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  6553 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: TRIPLE S 80345 . This is a "PATHOLOGIST" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com