Asensio-Gonzalez, Juan A.

Asensio-Gonzalez, Juan A. is an individual health care provider with primary practice located at 920 Doug White Dr Ste 210 , Myrtle Beach SC 29572-4181. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Asensio-Gonzalez, Juan A. can be contacted via phone (843) 497-6348.

Contact Information

Primary practice address
920 Doug White Dr Ste 210 Myrtle Beach SC 29572-4181
Phone: (843) 497-6348
Fax: (843) 497-6351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 72444 Georgia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 264501 New York
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 28147 Nebraska
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME95504 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 91224 South Carolina
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 91224 South Carolina

Profile Details

NPI number 1295793149
LBN Legal business name Asensio-Gonzalez, Juan A.
Credentials M.D., FACS, FCCM, FR
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Mar 13th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295793149 NPPES
New York MEDICAID 01168327

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