Gonzales, Rodolfo

Gonzales, Rodolfo is an individual health care provider with primary practice located at 2851 S Avenue B Ste 32 , Yuma AZ 85364-7726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzales, Rodolfo can be contacted via phone (928) 783-5828.

Contact Information

Primary practice address
2851 S Avenue B Ste 32 Yuma AZ 85364-7726
Fax: (928) 373-9699
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24318 Arizona

Profile Details

NPI number 1174587364
LBN Legal business name Gonzales, Rodolfo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Feb 13th, 2013 - about 12 years 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 1174587364 NPPES
Arizona MEDICAID 359625

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