Joann Marie Gonzalez Vale, MD | |
410 Ave Hostos, Mayaguez, PR 00682-1560 | |
(787) 652-9200 | |
Not Available |
Full Name | Joann Marie Gonzalez Vale |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 410 Ave Hostos, Mayaguez, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619351947 | NPI | - | NPPES |
19645 | Other | PR | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 19645 (Puerto Rico) | Secondary |
208000000X | Pediatrics | R8360 (Texas) | Primary |
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
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Joann Marie Gonzalez Vale, MD 410 Ave Hostos, Mayaguez, PR 00682-1560 Ph: (787) 652-9200 | Joann Marie Gonzalez Vale, MD 410 Ave Hostos, Mayaguez, PR 00682-1560 Ph: (787) 652-9200 |
Dr. Ramon Antonio Machado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Hospital San Antonio Calle Post Norte, #18, Mayaguez, PR 00680 Phone: 787-834-0050 | |
Dr. Elba Iris Morales-medina, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14 Calle Peral N, Oficina 1-e, Mayaguez, PR 00680 Phone: 787-833-5544 Fax: 787-834-3446 | |
Dr. Maria J Polanco, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Calle Post 18 Norte, Mayaguez, PR 00680 Phone: 787-834-0050 Fax: 787-834-2104 | |
Mr. Angel A Pacheco-vega, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27 Nelson Perea St, Suite 203 Doctors Center, Mayaguez, PR 00680 Phone: 787-833-3096 Fax: 787-833-3096 | |
Dr. Luis T Boothby, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: De Diego 14 E, Suite 103, Mayaguez, PR 00680 Phone: 787-832-4416 Fax: 787-832-4416 | |
Dr. Marisol Urrutia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Calle De Diego E, Suite 302, Mayaguez, PR 00680 Phone: 787-265-0320 Fax: 787-265-0320 | |
Mr. Rogelio Alberto Manon Schotborgh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Avenida Santa Teresa Tournet #617, Mayaguez, PR 00680 Phone: 787-473-1261 Fax: 787-851-3932 |