Provider Demographics
NPI:1396712261
Name:GONZALEZ, LUIS FRANCISCO (DMD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:FRANCISCO
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1195
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1195
Mailing Address - Country:US
Mailing Address - Phone:787-746-0363
Mailing Address - Fax:787-743-0383
Practice Address - Street 1:50 AVE MUNOZ MARIN
Practice Address - Street 2:QUADRANGLE MEDICAL CENTER SUITE 309
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3975
Practice Address - Country:US
Practice Address - Phone:787-746-0363
Practice Address - Fax:787-743-0383
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR007571223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics