Provider Demographics
NPI:1366536468
Name:GONZALEZ-SALA, HECTOR MANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:MANUEL
Last Name:GONZALEZ-SALA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PORTAL DE LOS PINOS RR36 BOX C51
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN ,
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-748-6819
Mailing Address - Fax:787-748-6819
Practice Address - Street 1:GRUPO DE CIRUGIA DOCTORS CENTER
Practice Address - Street 2:TORRE DOCTOR CENTER SUITE 201-202
Practice Address - City:MANATI,
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-7545
Practice Address - Fax:787-854-6890
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR5649208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH81611Medicare UPIN