| Gonzalez Colon Medical Services, C.S.P. | |
|
51 Ave. Moca Puerto Rico Moca PR 00676 | |
| (787) 877-7151 | |
| Not Available |
| Full Name | Gonzalez Colon Medical Services, C.S.P. |
|---|---|
| Speciality | General Practice |
| Location | 51 Ave. Moca Puerto Rico, Moca, Puerto Rico |
| Authorized Official Name and Position | Anitza O Gonzalez (OWNER) |
| Authorized Official Contact | 7878777151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzalez Colon Medical Services, C.S.P. 51 Ave. Moca Puerto Rico Moca PR 00676 | Gonzalez Colon Medical Services, C.S.P. 51 Ave. Moca Puerto Rico Moca PR 00676 Ph: (787) 877-7151 |
| NPI Number | 1699803809 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 04/21/2017 |
| Medicare PECOS PAC ID | 3678645371 |
|---|---|
| Medicare Enrollment ID | O20080711000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699803809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Anitza O Gonzalez Colon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598844045 PECOS PAC ID: 5597837294 Enrollment ID: I20080711000148 |
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