MARIO ENRIQUE GONZALEZ BAUZA SR. (NPI# 1205836301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205836301 |
| Entity Type | Individual |
| Full Name | MARIO ENRIQUE GONZALEZ BAUZA SR. |
| Credential | MD |
| Practice Address |
3 Calle Del Carmen Rio Grande PR 00745-3026 |
| Mailing Address |
3 Calle Del Carmen Po Box 817 Rio Grande PR 00745-3026 |
| Practice Telephone | 7878873259 |
| Mailing Telephone | 7878873259 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2010 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
3 CALLE DEL CARMEN |
| City | RIO GRANDE |
| State | PR |
| Zip Code | 00745-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898172 | Luis Emanuel Mojica | Pharmacy Technician | Farmacias Caribe, Centro Comercial Alturas De Rio Grande, Rio Grande, PR 00745 | 2020-07-10 |
| 1487287231 | Hecmar LLC | Pharmacy | Carretera #3 Km 29.6, Barrio Palmer Sector Carola, Rio Grande, PR 00745 | 2020-02-20 |
| 1487287348 | Yanializ Matta | Social Worker | C/ 15 Bloq P# 828 Urb. Alturas De Rio Grande, Rio Grande, PR 00745 | 2020-02-19 |
| 1396383857 | Maria Victoria Padilla | Psychologist | St 68 Bs 344, Jardines De Rio Grande, Rio Grande, PR 00745 | 2019-12-16 |
| 1821632977 | Ingrid S Ayala | Social Worker | Urb Los Arboles, 94 Calle Jaba, Rio Grande, PR 00745 | 2019-11-01 |
| 1891338265 | Ivonne Robles | General Practice | Bn 310 33, Rio Grande, PR 00745 | 2019-10-18 |
| 1295376093 | Adriana Lopez Guzman | Physician Assistant | Calle 4 L 1, Villas De Rio Grande, Rio Grande, PR 00745 | 2019-10-02 |
| 1376195214 | Aymet Perez Castro | Student in an Organized Health Care Education/Training Program | Barrio Las Tres T Carr, Rio Grande, PR 00745 | 2019-07-11 |
| 1851959738 | Ricardo Alvarez Mainegra | Student in an Organized Health Care Education/Training Program | Carr 3 Km 3.9 Rio Grande, Bo The Three T, Rio Grande, PR 00745 | 2019-06-05 |
| 1649837600 | Tedshla Zorivette Ortiz | Psychologist | Urb Rio Grande Estate C25 V64, Rio Grande, PR 00745 | 2019-05-24 |
| Find all providers in zip 00745 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891338265 | Ivonne Robles | General Practice | Bn 310 33, Rio Grande, PR 00745 | 2019-10-18 |
| 1033696802 | Cristina P Castillo Mieses | General Practice | B2 Calle Soledad Ext Estancias Del Sol, Rio Grande, PR 00745 | 2018-07-25 |
| 1609396373 | Nitzalise Esther Carrasquillo Rodriguez | General Practice | Calle 17 R-921, Alturas De Rio Grande, Rio Grande, PR 00745 | 2017-06-23 |
| 1639537806 | Jose Roberto Allende Moure | General Practice | A3 Calle Garcia De La Noceda, Villas De Rio Grande, Rio Grande, PR 00745 | 2016-02-03 |
| 1881850527 | Michelle Marie Dumas | General Practice | Hc 5 Box 9748, El Verde, Rio Grande, PR 00745-9322 | 2008-08-01 |
| 1104082056 | Ilia Yahjaira Ortiz-castro | General Practice | Hc 2 Box 15100, Rio Grande, PR 00745-8900 | 2008-07-30 |
| 1831371798 | Olga Cintron | General Practice | 486 Capa Prieto Urb Los Arboles, Rio Grande, PR 00745 | 2007-12-03 |
| 1902008881 | Jose Nieves Marcano | General Practice | Calle 8, I-12, Urb Colinas Del Yunque, Rio Grande, PR 00745 | 2007-06-04 |
| 1497968275 | Manuel E. Lopez-reyes | General Practice | 251 Pimentel Street, Rio Grande, PR 00745 | 2007-05-08 |
| 1588796437 | Roberto Durand Rolon Sr. | General Practice | Calle Garcia De La Noceda A4 Villas De, Rio Grande, PR 00745 | 2007-03-09 |
| Find all providers in RIO GRANDE | ||||
| City | RIO GRANDE |
| Zip Code | 00745 |
Please comment or provide details below to improve the information on MARIO ENRIQUE GONZALEZ BAUZA SR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.