Provider Demographics
NPI:1205291465
Name:GONZALEZ, KARINA GUADALUPE (RDH)
Entity type:Individual
Prefix:MISS
First Name:KARINA
Middle Name:GUADALUPE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MISS
Other - First Name:KARINA
Other - Middle Name:GUADALUPE
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDH
Mailing Address - Street 1:BASE NAVAL, CADIZ
Mailing Address - Street 2:HOSPITAL NAVAL DE ROTA
Mailing Address - City:ROTA
Mailing Address - State:CADIZ
Mailing Address - Zip Code:11320
Mailing Address - Country:ES
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HOSPITAL ROTA
Practice Address - Street 2:
Practice Address - City:ROTA
Practice Address - State:CADIZ
Practice Address - Zip Code:11520
Practice Address - Country:ES
Practice Address - Phone:956-476-2898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20012124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist