Gonzalez, Juan Hermilo

Gonzalez, Juan Hermilo is an sole proprietor health care provider with primary practice located at 1454 Central Blvd , Brownsville TX 78520-7516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gonzalez, Juan Hermilo can be contacted via phone (956) 391-2600.

Contact Information

Primary practice address
1454 Central Blvd Brownsville TX 78520-7516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J9686 Texas

Profile Details

NPI number 1154398121
LBN Legal business name Gonzalez, Juan Hermilo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Jul 25th, 2022 - about 3 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 1154398121 NPPES
Texas MEDICAID 101851702
Texas MEDICAID 101851707

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