Dr Juan Rafael Gonzalez, DMD is a
Dentist based in Vieques, Puerto Rico. Dr Juan Rafael Gonzalez is licensed to practice in Ohio (license number 30-022496) and his current practice location is
502 Baldorioty St, Isabel Ii, Vieques, Puerto Rico. He can be reached at his office (for appointments etc.) via phone at
(787) 318-7376.
NPI number for Dr Juan Rafael Gonzalez is 1437162724 and his current mailing address is Po Box 608, Vieques, Puerto Rico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437162724.
Healthcare Provider's Profile
| Full Name | Dr Juan Rafael Gonzalez |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 502 Baldorioty St, Vieques, Puerto Rico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437162724
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 07/12/2012
Medical Identifiers
Medical identifiers for Dr Juan Rafael Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437162724 | NPI | - | NPPES |
| 856 | Other | PR | DENTAL LICENCE |
| 008682 | Other | PR | REGISTRATION NUM. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 856 (Puerto Rico) | Secondary |
| 122300000X | Dentist | 042540 (New York) | Secondary |
| 122300000X | Dentist | 17336-9 (Texas) | Secondary |
| 122300000X | Dentist | 019-022361 (Illinois) | Secondary |
| 122300000X | Dentist | 30-022496 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Juan Rafael Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Juan Rafael Gonzalez, DMD
Po Box 608,
Vieques, PR 00765-0608
Ph: (787) 318-7376 | Dr Juan Rafael Gonzalez, DMD
502 Baldorioty St, Isabel Ii,
Vieques, PR 00765
Ph: (787) 318-7376 |
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