| Gonzales Medical Clinic P C | |
|
2851 S Ave B Ste 3200 Yuma AZ 85364-7740 | |
| (928) 783-5828 | |
| Not Available |
| Full Name | Gonzales Medical Clinic P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 2851 S Ave B Ste 3200, Yuma, Arizona |
| Authorized Official Name and Position | Rodolfo Gonzales (OWNER) |
| Authorized Official Contact | 9287835828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzales Medical Clinic P C 2851 S Ave B Ste 3200 Yuma AZ 85364-7740 Ph: (928) 783-5828 | Gonzales Medical Clinic P C 2851 S Ave B Ste 3200 Yuma AZ 85364-7740 Ph: (928) 783-5828 |
| NPI Number | 1447358742 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/05/2024 |
| Medicare PECOS PAC ID | 4284693466 |
|---|---|
| Medicare Enrollment ID | O20041004001013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447358742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G34695 (Arizona) | Primary |
| Provider Name | Renellie D Debelen Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194780627 PECOS PAC ID: 8123926383 Enrollment ID: I20040202000808 |
| Provider Name | Rodolfo P Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174587364 PECOS PAC ID: 5597758904 Enrollment ID: I20040402001521 |
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