| Joann Marie Gonzalez Vale, MD | |
|
410 Ave Hostos, Mayaguez, PR 00682-1560 | |
| (787) 652-9200 | |
| Not Available |
| Full Name | Joann Marie Gonzalez Vale |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 410 Ave Hostos, Mayaguez, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619351947 | NPI | - | NPPES |
| 19645 | Other | PR | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 19645 (Puerto Rico) | Secondary |
| 208000000X | Pediatrics | R8360 (Texas) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Joann Marie Gonzalez Vale, MD 410 Ave Hostos, Mayaguez, PR 00682-1560 Ph: (787) 652-9200 | Joann Marie Gonzalez Vale, MD 410 Ave Hostos, Mayaguez, PR 00682-1560 Ph: (787) 652-9200 |
Dr. Ramon Antonio Machado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Hospital San Antonio Calle Post Norte, #18, Mayaguez, PR 00680 Phone: 787-834-0050 | |
Dr. Elba Iris Morales-medina, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14 Calle Peral N, Oficina 1-e, Mayaguez, PR 00680 Phone: 787-833-5544 Fax: 787-834-3446 | |
Dr. Maria J Polanco, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Calle Post 18 Norte, Mayaguez, PR 00680 Phone: 787-834-0050 Fax: 787-834-2104 | |
Mr. Angel A Pacheco-vega, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27 Nelson Perea St, Suite 203 Doctors Center, Mayaguez, PR 00680 Phone: 787-833-3096 Fax: 787-833-3096 | |
Dr. Luis T Boothby, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: De Diego 14 E, Suite 103, Mayaguez, PR 00680 Phone: 787-832-4416 Fax: 787-832-4416 | |
Dr. Marisol Urrutia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Calle De Diego E, Suite 302, Mayaguez, PR 00680 Phone: 787-265-0320 Fax: 787-265-0320 | |
Mr. Rogelio Alberto Manon Schotborgh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Avenida Santa Teresa Tournet #617, Mayaguez, PR 00680 Phone: 787-473-1261 Fax: 787-851-3932 |