Provider Demographics
NPI:1447469861
Name:GONZALEZ DURON, VICTOR HUGO (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:HUGO
Last Name:GONZALEZ DURON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 794
Mailing Address - Street 2:AVE BARBOSA 110
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00963-0794
Mailing Address - Country:US
Mailing Address - Phone:787-531-1756
Mailing Address - Fax:787-788-2675
Practice Address - Street 1:AVE BARBOSA
Practice Address - Street 2:110
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-0963
Practice Address - Country:US
Practice Address - Phone:787-531-1756
Practice Address - Fax:787-788-2675
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR14532208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR002-2486Medicare ID - Type Unspecified