Provider Demographics
NPI:1235111782
Name:GONZALEZ AGRONT, NELIDA (MD)
Entity Type:Individual
Prefix:
First Name:NELIDA
Middle Name:
Last Name:GONZALEZ AGRONT
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:PO BOX 7430
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7430
Mailing Address - Country:US
Mailing Address - Phone:787-843-9989
Mailing Address - Fax:787-840-7245
Practice Address - Street 1:507 CALLE FERROCARRIL
Practice Address - Street 2:URB. SANTA MARIA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1111
Practice Address - Country:US
Practice Address - Phone:778-784-3998
Practice Address - Fax:787-840-7245
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR5487207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease