Provider Demographics
NPI:1811069735
Name:UBINAS GONZALEZ, JOSE LUIS (MD)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:LUIS
Last Name:UBINAS GONZALEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PMB 492 200 AVE RAFAEL CORDERO
Mailing Address - Street 2:STE 140
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3757
Mailing Address - Country:US
Mailing Address - Phone:787-704-0075
Mailing Address - Fax:787-704-2265
Practice Address - Street 1:2F6 AVE MUNOZ MARIN ESQ CARLO MAGNO
Practice Address - Street 2:VILLA DEL REY 2NDA SECCION
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-704-0075
Practice Address - Fax:787-704-0075
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6733207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0510734OtherACAA
PR601222OtherMMM
PR27952OtherTRIPLE S
H83932Medicare UPIN
PR27952Medicare ID - Type UnspecifiedSSS OPTIMO
PR27952Medicare ID - Type Unspecified