Individual provider · Type 1 NPI
Jorge Luis Gonzalez Martinez, MD
Student Health Clinic/Center · Bronx, NY
NPI number
1972283877
Active
Practice location
4422 3rd Ave
Bronx, NY 10457-2545
Mailing address
13224 Poener Pl
Herndon, VA 20170-4336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
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About NPI 1972283877
Jorge Luis Gonzalez Martinez, MD's National Provider Identifier is 1972283877, issued on Jul 25, 2023. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Bronx, NY. The record was last updated on Jul 25, 2023.