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NPI Code Detail

MEDICARE: DR. ANABIS VERA GONZALEZ MD

MEDICARE:  DR. ANABIS  VERA GONZALEZ  MD
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
1207Q00000XFamily Medicine Physician8904PR

General Provider Information

NPI Number : 1447290739
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANABIS VERA GONZALEZ MD
Provider Business Mailing Address
First Line : PO BOX 560388
Second Line :
City : GUAYANILLA
State : PR
Zip : 00656-0388
Country : US
Telephone Number : 787-543-0113
Fax Number :
Provider Business Practice Location Address
First Line : QUEBRADAS WARD KM. 6.2
Second Line :
City : GUAYANILLA
State : PR
Zip : 00656-0388
Country : US
Telephone Number : 787-543-0113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 03/25/2009

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Directions to “ DR. ANABIS VERA GONZALEZ MD” Practice Location

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