Provider Demographics
NPI:1447290739
Name:VERA GONZALEZ, ANABIS (MD)
Entity type:Individual
Prefix:DR
First Name:ANABIS
Middle Name:
Last Name:VERA GONZALEZ
Suffix:
Gender:F
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 560388
Mailing Address - Street 2:
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-0388
Mailing Address - Country:US
Mailing Address - Phone:787-543-0113
Mailing Address - Fax:
Practice Address - Street 1:QUEBRADAS WARD KM. 6.2
Practice Address - Street 2:
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656-0388
Practice Address - Country:US
Practice Address - Phone:787-543-0113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8904207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC82709Medicare UPIN