Provider Demographics
NPI:1154929206
Name:OCASIO GONZALEZ, RAUL ALEXIS (MD)
Entity type:Individual
Prefix:DR
First Name:RAUL
Middle Name:ALEXIS
Last Name:OCASIO GONZALEZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:COUNTRY STATES
Mailing Address - Street 2:CALLE 1 A15
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-619-8784
Mailing Address - Fax:
Practice Address - Street 1:URB, SANTA CRUZ
Practice Address - Street 2:B7 CALLE SANTA CRUZ
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-786-8670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant