Provider Demographics
NPI:1275534695
Name:GONZALEZ-RECIO, AILED (MD)
Entity Type:Individual
Prefix:MRS
First Name:AILED
Middle Name:
Last Name:GONZALEZ-RECIO
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:SUITE 112 MSC 465
Mailing Address - Street 2:100 GRAN BULEVAR PASEOS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5955
Mailing Address - Country:US
Mailing Address - Phone:787-258-8916
Mailing Address - Fax:787-746-0545
Practice Address - Street 1:CALLE BALDORIOTY
Practice Address - Street 2:ESQ CORRETERA NUM 189
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-258-8916
Practice Address - Fax:787-746-0545
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6894207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
7250005OtherHUMANA
PR067958OtherLCA
3938368OtherCIGNA
209026OtherPREFERRED HEALTH
PR98592OtherSSS
PR0098592Medicare ID - Type Unspecified
PR067958OtherLCA