| Moldavia O Tavarez Gonzalez, MD | |
|
5 Calle Albizu Campos, Aguas Buenas, PR 00703-3102 | |
| (787) 732-8595 | |
| Not Available |
| Full Name | Moldavia O Tavarez Gonzalez |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 5 Calle Albizu Campos, Aguas Buenas, 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 |
|---|---|---|---|
| 1457092405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 23264 (Puerto Rico) | Primary |
| Entity Name | Gemi Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831592781 PECOS PAC ID: 0345568820 Enrollment ID: O20150413001894 |
| Mailing Address | Practice Location Address |
|---|---|
| Moldavia O Tavarez Gonzalez, MD Po Box 243, Aguas Buenas, PR 00703-0243 Ph: (787) 422-8491 | Moldavia O Tavarez Gonzalez, MD 5 Calle Albizu Campos, Aguas Buenas, PR 00703-3102 Ph: (787) 732-8595 |
Jorge Emmanuel Del Valle Reyes, MD General Practice Medicare: Medicare Enrolled Practice Location: 39 Calle Rafael Lasa, Aguas Buenas, PR 00703 Phone: 787-924-7575 | |
Alfredo Gonzalez Gomez, MD General Practice Medicare: Medicare Enrolled Practice Location: 5 Calle Albizu Campos, Aguas Buenas, PR 00703 Phone: 787-732-8595 | |
Yadira I Buxo Diaz, MD General Practice Medicare: Medicare Enrolled Practice Location: Road 173 Km 21.1, Aguas Buenas, PR 00703 Phone: 787-732-4956 | |
Ana I Negron Rosario, MD General Practice Medicare: Medicare Enrolled Practice Location: Calle Padre Sercus #9, Aguas Buenas, PR 00703 Phone: 787-732-1306 Fax: 787-732-1306 | |
Edwin Bonilla Gonzalez, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 39 Calle Munoz Rivera, Calle Munoz Rivera 39, Aguas Buenas, PR 00703 Phone: 787-732-7424 Fax: 787-732-7424 | |
Dr. Jose Alfredo Toro Ii, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 4 Calle Rafael Lasa, Aguas Buenas, PR 00703 Phone: 787-732-7733 Fax: 787-732-7733 |