Provider Demographics
NPI:1639518764
Name:GONZALEZ MONTALVO, ADEL (MD)
Entity Type:Individual
Prefix:
First Name:ADEL
Middle Name:
Last Name:GONZALEZ MONTALVO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:CIRUGIA RCM
Mailing Address - Street 2:PO BOX 29134
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0134
Mailing Address - Country:US
Mailing Address - Phone:787-758-2525
Mailing Address - Fax:787-758-1119
Practice Address - Street 1:CLINICA DE LA ESCUELA DE MEDICINA
Practice Address - Street 2:1008 REPARTO METROPOLITANO SHOPPING AVE AMERICO MIRANDA
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00921-2213
Practice Address - Country:US
Practice Address - Phone:787-331-6268
Practice Address - Fax:787-758-1119
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2019-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR21319208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery