| Gonzalez Medical Offices, LLP | |
|
2311 Arcola Ave Silver Spring MD 20902-2826 | |
| (301) 933-6644 | |
| (301) 933-6647 |
| Full Name | Gonzalez Medical Offices, LLP |
|---|---|
| Speciality | Internal Medicine |
| Location | 2311 Arcola Ave, Silver Spring, Maryland |
| Authorized Official Name and Position | Luis Antonio Gonzalez (PROVIDER) |
| Authorized Official Contact | 3019336644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzalez Medical Offices, LLP 2311 Arcola Ave Silver Spring MD 20902-2826 Ph: (301) 933-6644 | Gonzalez Medical Offices, LLP 2311 Arcola Ave Silver Spring MD 20902-2826 Ph: (301) 933-6644 |
| NPI Number | 1720228463 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 02/15/2011 |
| Medicare PECOS PAC ID | 5092774679 |
|---|---|
| Medicare Enrollment ID | O20041008000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720228463 | NPI | - | NPPES |
| 185839 | Other | MD | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0056791 (Maryland) | Primary |
| Provider Name | Luis a Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316047327 PECOS PAC ID: 0840280566 Enrollment ID: I20040514000791 |
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