Provider Demographics
NPI:1134634389
Name:GONZALEZ OCANA, ALVIN (MD)
Entity Type:Individual
Prefix:
First Name:ALVIN
Middle Name:
Last Name:GONZALEZ OCANA
Suffix:
Gender:M
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:F16 CALLE 5
Mailing Address - Street 2:URB SAN FELIPE
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-242-8138
Mailing Address - Fax:
Practice Address - Street 1:F16 CALLE 5
Practice Address - Street 2:URB SAN FELIPE
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-242-8138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19814208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice