Physician Compare National (NPI:1306908215)

HEALTHCARE PROVIDER: GIOVANNI GONZALEZ SR. MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306908215
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789832650
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120918000756
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GONZALEZ
	Individual professional last name
Provider First Name	GIOVANNI
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	CALLE ELLIOT VELEZ
	Group Practice or individual's line 1 address
Line 2 Street Address	B42 URB ATENAS
	Group Practice or individual's line 2 address
City	MANATI
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006134615
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878547531
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y