Individual provider · Type 1 NPI
Virgilio Gonzaga Jr., RN
Medical-Surgical Registered Nurse · Bronx, NY
NPI number
1245730027
Active · reactivated Jul 22, 2021
Practice location
1401 Pelham Pkwy N
Bronx, NY 10469-5809
Mailing address
174 Baier Ave Apt 106
Somerset, NJ 08873-2043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 725963 (NY) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1245730027
Virgilio Gonzaga Jr., RN's National Provider Identifier is 1245730027, issued on Feb 18, 2018. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Bronx, NY. The record was last updated on Jul 22, 2021.