Provider Demographics
NPI:1306871850
Name:GONZALEZ-CLAUDIO, GLENDA M (MD)
Entity type:Individual
Prefix:DR
First Name:GLENDA
Middle Name:M
Last Name:GONZALEZ-CLAUDIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 403
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-0403
Mailing Address - Country:US
Mailing Address - Phone:787-745-4864
Mailing Address - Fax:787-736-3339
Practice Address - Street 1:URBANIZACION GRAN VISTA 2
Practice Address - Street 2:PLAZA 5 NUMERO 44
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-745-4864
Practice Address - Fax:787-736-3339
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12448207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRGL291AMedicare UPIN