Healthcare Provider Details

I. General information

NPI: 1295181394
Provider Name (Legal Business Name): FRANCES GONZALEZ M.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2016
Last Update Date: 07/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CATON AVE
BALTIMORE MD
21229-5201
US

IV. Provider business mailing address

BOULEVARD DR GUILLERMO ARBONA CENTRO MEDICO
SAN JUAN PR
00935-0001
US

V. Phone/Fax

Practice location:
  • Phone: 667-234-8903
  • Fax:
Mailing address:
  • Phone: 787-753-6390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0087967
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: