Agripino C Gonzales Jr, MD is a
General Practice physician based in Middleburg Heights, Ohio. Agripino C Gonzales Jr is licensed to practice in Ohio (license number 35100057) and his current practice location is 18697 Bagley Road, Middleburg Heights, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 816-8740.
NPI number for Agripino C Gonzales Jr is 1548280373 and his current mailing address is Po Box 74228, Cleveland, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548280373.
Physician's Profile
| Full Name | Agripino C Gonzales Jr |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 18697 Bagley Road, Middleburg Heights, Ohio |
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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: 1548280373
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Agripino C Gonzales Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548280373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 35100057 (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. Agripino C Gonzales Jr 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 |
|---|
Agripino C Gonzales Jr, MD
Po Box 74228,
Cleveland, OH 44194
Ph: (440) 816-8740 | Agripino C Gonzales Jr, MD
18697 Bagley Road,
Middleburg Heights, OH 44130
Ph: (440) 816-8740 |
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