Gonzalez Castro, Rafael Angel

Gonzalez Castro, Rafael Angel is an sole proprietor health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gonzalez Castro, Rafael Angel can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Phone: (386) 755-3016
Fax: (386) 754-6352
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12332 Puerto Rico

Profile Details

NPI number 1063471829
LBN Legal business name Gonzalez Castro, Rafael Angel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Apr 19th, 2017 - about 7 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 1063471829 NPPES
Puerto Rico Other 20469 TRIPLE SSS
Puerto Rico Other 300115 TRIPLE SSS
Puerto Rico Other A-040 TRIPLE SSS
Puerto Rico Other 03827 TRIPLE SSS
Puerto Rico Other 100649 TRIPLE SSS
Puerto Rico Other 200-365 TRIPLE SSS
Puerto Rico Other 36-0306-7 TRIPLE SSS
Puerto Rico Other PE-4847 TRIPLE SSS
Puerto Rico Other 716-0040 TRIPLE SSS
Puerto Rico Other 115-12332 TRIPLE SSS
Puerto Rico Other 20469 TRIPLE SSS
Puerto Rico Other 3612332 TRIPLE SSS
Puerto Rico Other 3883 TRIPLE SSS

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