Basic Information
Provider Information
NPI: 1821184375
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GONZALEZ-JOVE
FirstName: EDUARDO
MiddleName: ANDRES
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1593
Address2:  
City: BAYAMON
State: PR
PostalCode: 00960
CountryCode: US
TelephoneNumber: 7877981250
FaxNumber: 7877981224
Practice Location
Address1: CALLE SANTA CRUZ NUM. 51
Address2: ESQ. ESTEBAN PADILLA
City: BAYAMON
State: PR
PostalCode: 00960
CountryCode: US
TelephoneNumber: 7877981250
FaxNumber: 7877981224
Other Information
ProviderEnumerationDate: 10/04/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X4585PRY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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