Provider Demographics
NPI:1083686315
Name:GONZALEZ, ROBERTO ADRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:ADRIAN
Last Name:GONZALEZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1721 TAUSSIG BLVD
Mailing Address - Street 2:NAVY BRANCH MEDICAL CLINIC SEWELS POINT
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23511-2899
Mailing Address - Country:US
Mailing Address - Phone:757-953-8744
Mailing Address - Fax:757-953-8982
Practice Address - Street 1:1721 TAUSSIG BLVD
Practice Address - Street 2:NAVY BRANCH MEDICAL CLINIC SEWELS POINT
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23511-2899
Practice Address - Country:US
Practice Address - Phone:757-953-8744
Practice Address - Fax:757-953-8982
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2011-08-18
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Provider Licenses
StateLicense IDTaxonomies
FL79262207Q00000X
VA0101231582207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine