Provider Demographics
NPI:1992753420
Name:GONZALEZ - RODRIGUEZ, ANARDA (MD)
Entity type:Individual
Prefix:DR
First Name:ANARDA
Middle Name:
Last Name:GONZALEZ - RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANARDA
Other - Middle Name:
Other - Last Name:GONZALEZ DE PESANTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:C11 CALLE 37
Mailing Address - Street 2:COLINAS DE MONTECARLO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-5802
Mailing Address - Country:US
Mailing Address - Phone:787-758-2525
Mailing Address - Fax:787-754-0710
Practice Address - Street 1:LAB. PATOLOGIA DR. NOY
Practice Address - Street 2:CAPITAL CENTER BLD TORRE #1 SUITE 1A - SOTANO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-2470
Practice Address - Country:US
Practice Address - Phone:787-751-1312
Practice Address - Fax:787-756-0575
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6553207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRTRIPLE S 80345OtherPATHOLOGIST
PRTRIPLE S 80345OtherPATHOLOGIST