Tania M Gandia Gonzalez, MD
General Practice in Arecibo, PR. Individual provider (NPI-1).
NPI number1982219713
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1982219713
- Entity type
- Individual (NPI-1)
- Name
- Tania M Gandia Gonzalez
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2020
- Certification date
- May 5, 2021
- Last updated
- May 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 22024 | PR | Yes |
| 282N00000X | General Acute Care Hospital | 15120i | – |
Practice location
Carr. #2 Km. 67.3Bo. Santana
Arecibo, PR 00612
Phone 787-816-1212 · Fax 787-650-3232
Mailing address
Hc 5 Box 28503Utuado, PR 00641-8728
Phone 787-717-5537
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