Gonzales, Michael Raymund C

Gonzales, Michael Raymund C is an individual health care provider with primary practice located at 10085 Double R Blvd Ste 310 , Reno NV 89521-4832. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Gonzales, Michael Raymund C can be contacted via phone (775) 982-7260.

Contact Information

Primary practice address
10085 Double R Blvd Ste 310 Reno NV 89521-4832
Phone: (775) 982-7260
Fax: (775) 982-7268
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 21747 Mississippi
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 309848 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116019889 Virginia
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 16309 Nevada

Profile Details

NPI number 1669635785
LBN Legal business name Gonzales, Michael Raymund C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Jul 23rd, 2019 - 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 1669635785 NPPES
Nevada Other 13817541 CAQH NUMBER
Nevada Other 6056931 CAQH NUMBER
Nevada Other 931868 CAQH NUMBER
Nevada Other 9971837 CAQH NUMBER
Nevada Other P01109797 CAQH NUMBER
Nevada Other 16309 CAQH NUMBER
Nevada Other 3447931 CAQH NUMBER
Nevada Other 8822998 CAQH NUMBER
Nevada MEDICAID 1669635785 CAQH NUMBER
Nevada MEDICAID 09338860 CAQH NUMBER

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