Provider Demographics
NPI:1356510424
Name:GONZALEZ-TORRES, INES (MD)
Entity Type:Individual
Prefix:DR
First Name:INES
Middle Name:
Last Name:GONZALEZ-TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:INES
Other - Middle Name:
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3129
Mailing Address - Street 2:
Mailing Address - City:FORT STEWART
Mailing Address - State:GA
Mailing Address - Zip Code:31315-3129
Mailing Address - Country:US
Mailing Address - Phone:912-617-0922
Mailing Address - Fax:912-369-0022
Practice Address - Street 1:422 FLOYD CIR
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-5536
Practice Address - Country:US
Practice Address - Phone:912-617-0922
Practice Address - Fax:912-369-0022
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1281171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider