Provider Demographics
NPI:1689754566
Name:NAVARRO GONZALEZ, REXIE (MD)
Entity Type:Individual
Prefix:DR
First Name:REXIE
Middle Name:
Last Name:NAVARRO GONZALEZ
Suffix:
Gender:M
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 12
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-0012
Mailing Address - Country:US
Mailing Address - Phone:787-299-0963
Mailing Address - Fax:787-735-7111
Practice Address - Street 1:CLINICAS EXTERNAS HOSPITAL MENONITA AIBONITO
Practice Address - Street 2:CALLE DR TROYER A3 VILLA ROSALES
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-299-0963
Practice Address - Fax:787-735-7111
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13136207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine