Provider Demographics
NPI:1003827692
Name:GONZALEZ, ARMANDO (MD)
Entity Type:Individual
Prefix:MR
First Name:ARMANDO
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 43160
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-3160
Mailing Address - Country:US
Mailing Address - Phone:520-722-3777
Mailing Address - Fax:520-296-6224
Practice Address - Street 1:395 N SILVERBELL RD
Practice Address - Street 2:#265
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2675
Practice Address - Country:US
Practice Address - Phone:520-624-2194
Practice Address - Fax:520-624-2193
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24499207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1Z7691OtherHEALTH NET
357196OtherAHCCCS MEDICAID
0410782OtherEVERCARE
357196003OtherAHCCCS MERCY CARE
AZ0893150OtherBCBS OF ARIZONA
002000386OtherCIGNA
5802220OtherAETNA OLD #621902
205906600OtherDEPT OF LABOR
P00080368OtherRAILROAD MEDICARE
205906600OtherDEPT OF LABOR
P00080368OtherRAILROAD MEDICARE