Provider Demographics
NPI:1427048578
Name:GONZALEZ DUENAS, ANDREA (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:
Last Name:GONZALEZ DUENAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:GONZALEZ DUENAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:DEL PARQUE 218 APTO. 4-A
Mailing Address - Street 2:
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00911
Mailing Address - Country:US
Mailing Address - Phone:787-722-5355
Mailing Address - Fax:787-761-1724
Practice Address - Street 1:A10 CALLE TREVISO
Practice Address - Street 2:TOWN PARK
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-5023
Practice Address - Country:US
Practice Address - Phone:787-761-1728
Practice Address - Fax:787-761-1724
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR89402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR060581OtherPSYCHIATRIST
PR87950OtherPSYCHIATRIST
PR87950OtherPSYCHIATRIST
PR060581OtherPSYCHIATRIST