RENE GONZALEZ GARCIA MD NPI 1639269913

NPI Information

NPI: 1639269913
Provider Name: RENE GONZALEZ GARCIA, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1957 HWAY 95 STE 23
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 234-3834
Get Directions

Rene Gonzalez Garcia, MD is a general practice in Bullhead City, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Rene Gonzalez Garcia, MD NPI is 1639269913. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1957 HWAY 95 STE 23
BULLHEAD CITY, AZ
ZIP 86442-744
Phone: (928) 234-3834
Fax: (602) 792-7270

The NPI 1639269913 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/15/2006 and was last updated on 3/2/2023.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	171100000X	Acupuncturist	587	PUERTO RICO	No
2	207Q00000X	Family Medicine	4301117103	MICHIGAN	No
3	208D00000X	General Practice	15953	PUERTO RICO	No
4	208D00000X	General Practice	4301117103	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DJ664A	OTHER	PUERTO RICO	MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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