Gonzalez, Roberto M

Gonzalez, Roberto M is an individual health care provider with primary practice located at 2768 Pharmacy Rd , Rio Grande City TX 78582-6201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gonzalez, Roberto M can be contacted via phone (956) 487-5621.

Contact Information

Primary practice address
2768 Pharmacy Rd Rio Grande City TX 78582-6201
Fax: (956) 487-5862
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E0238 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X E0238 Texas

Profile Details

NPI number 1174541569
LBN Legal business name Gonzalez, Roberto M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 7th, 2014 - about 11 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 1174541569 NPPES
Texas MEDICAID 107763801

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