Provider Demographics
NPI:1376924506
Name:GONZALEZ CORDERO, ARIEL FRANCISCO (MD)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:FRANCISCO
Last Name:GONZALEZ CORDERO
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 8738
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988-8738
Mailing Address - Country:US
Mailing Address - Phone:787-613-9388
Mailing Address - Fax:
Practice Address - Street 1:10,000 AVE 65 DE INFANTERIA
Practice Address - Street 2:CAROLINA SHOPPING COURT SUITE 205
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5615
Practice Address - Country:US
Practice Address - Phone:787-531-3469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR34449207R00000X
PR802063100390200000X
PR21837207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program