Healthcare Provider Details

I. General information

NPI: 1851724512
Provider Name (Legal Business Name): KARINA MICHELLE AROCHO-GONZALEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2013
Last Update Date: 12/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 PRUDENTIAL DR SUITE 1130
JACKSONVILLE FL
32207-8329
US

IV. Provider business mailing address

PO BOX 365067
SAN JUAN PR
00936-5067
US

V. Phone/Fax

Practice location:
  • Phone: 904-633-4180
  • Fax: 904-633-4188
Mailing address:
  • Phone: 787-777-3535
  • Fax: 787-756-5866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number19079
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number22787
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number19079
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: