MEDICARE: MRS. ITZIA GONZALEZ MURIEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	11545	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	500310E	OTHER	PR	MEDICARE MUCHO MAS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PG4557	OTHER	PR	PALIC
2	83943	OTHER	PR	TRIPLES
3	2011051	OTHER	PR	PREFERRED HEALTH CARE
4	9180377	OTHER	PR	HUMANA
5	P270	OTHER	PR	INTERNATIONAL MEDICAL CAR
6	3111545	OTHER	PR	UNION INDEP ACUEDUCTOS

General Provider Information

NPI Number	:	1487651014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ITZIA GONZALEZ MURIEL M.D.

Provider Business Mailing Address
First Line	:	CALLE 402 MD2
Second Line	:	COUNTRY CLUB
City	:	CAROLINA
State	:	PR
Zip	:	00982
Country	:	US
Telephone Number	:	787-765-6670
Fax Number	:	787-765-7601

Provider Business Practice Location Address
First Line	:	MO1 CALLE 413
Second Line	:	SUITE 201
City	:	CAROLINA
State	:	PR
Zip	:	00982-1853
Country	:	US
Telephone Number	:	787-765-6670
Fax Number	:	787-765-7601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	12/27/2016

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Directions to “ MRS. ITZIA GONZALEZ MURIEL M.D.” Practice Location

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