Provider Demographics
NPI:1215044979
Name:GONZALEZ SKERRETT, JUAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN A
Middle Name:
Last Name:GONZALEZ SKERRETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JUAN A
Other - Middle Name:
Other - Last Name:GONZALEZ SKERRETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:CALLE PEPITA ALBANDOZ NUM 66
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-256-2831
Mailing Address - Fax:787-256-2831
Practice Address - Street 1:CALLE PEPITA ALBANDOZ
Practice Address - Street 2:NUMBER 66
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-1707
Practice Address - Country:US
Practice Address - Phone:787-256-2831
Practice Address - Fax:787-256-2831
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10390261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR060378OtherCRUZ AZUL DE PUERTO RICO
PR2122OtherPREFERRED MEDICARE CHOICE
PR7450021OtherHUMANA DE PUERTO RICO
PRPG-2007OtherPAN AMERICAN LIFE
PR1262OtherFIRST MEDICAL
PR82495OtherTRIPLE S
PR7450021OtherHUMANA GOLD CHOICE
PR01738OtherAMERICAN HEALTH INC
PR201105OtherPREFERRED UTI
PR01738OtherAMERICAN HEALTH INC
PR7450021OtherHUMANA GOLD CHOICE