Provider Demographics
NPI:1518926872
Name:GONZALEZ, MILAGROS (MD)
Entity Type:Individual
Prefix:DR
First Name:MILAGROS
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:731 CALLE ONIDE
Mailing Address - Street 2:VENUS GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4906
Mailing Address - Country:US
Mailing Address - Phone:787-876-2042
Mailing Address - Fax:787-876-8586
Practice Address - Street 1:CARR 188
Practice Address - Street 2:CONCILIO DE SALUD INTEGRAL DE LOIZA
Practice Address - City:LOIZA
Practice Address - State:PR
Practice Address - Zip Code:00772-1850
Practice Address - Country:US
Practice Address - Phone:787-876-2042
Practice Address - Fax:787-876-8586
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR9505208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics