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RAFAEL GONZALEZ DPM LLC NPI 1326282518


NPI Information

NPI: 1326282518
Provider Name: RAFAEL GONZALEZ DPM LLC

Doing Business As: GREATER HARTFORD PODIATRY

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
580 COTTAGE GROVE RD STE 203
BLOOMFIELD, CT
ZIP 06002
Phone: (860) 263-7999
Get Directions

RAFAEL GONZALEZ DPM LLC is a podiatrist in Bloomfield, CT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. RAFAEL GONZALEZ DPM LLC NPI is 1326282518. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Greater Hartford Podiatry.

The provider's business location address is:

580 COTTAGE GROVE RD STE 203
BLOOMFIELD, CT
ZIP 06002-088
Phone: (860) 263-7999
Fax: (860) 216-0664

The provider's authorized official is Rafael Gonzalez .
The authorized official title is Owner and has the following contact phone number (860) 263-7999.

The enumeration date for this NPI number is 5/1/2009 and was last updated on 11/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery000808CONNECTICUTNo
2332B00000XDurable Medical Equipment & Medical Supplies000808CONNECTICUTNo
3213E00000XPodiatrist000808CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U86144MEDICARE UPINCONNECTICUT
2480000972MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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