Healthcare Provider Details

I. General information

NPI: 1528250073
Provider Name (Legal Business Name): HECTOR M GONZALEZ GARCIA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 RIDGELY AVE STE 222
ANNAPOLIS MD
21401-1073
US

IV. Provider business mailing address

600 RIDGELY AVE STE 222
ANNAPOLIS MD
21401-1073
US

V. Phone/Fax

Practice location:
  • Phone: 410-266-8049
  • Fax: 410-266-8054
Mailing address:
  • Phone: 410-266-8049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number0101264449
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberD0091034
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101264449
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: