Provider Demographics
NPI:1033489042
Name:GONZALEZ, CARIDAD (MD)
Entity Type:Individual
Prefix:
First Name:CARIDAD
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE C #161 PARCELAS NAVAS
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-9423
Mailing Address - Country:US
Mailing Address - Phone:787-452-8796
Mailing Address - Fax:787-878-6291
Practice Address - Street 1:1952 N JOHN YOUNG PKWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-3221
Practice Address - Country:US
Practice Address - Phone:407-978-6605
Practice Address - Fax:407-978-6610
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18379208D00000X
FLACN1014208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice