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

TaxonomyCodeLicense
Student Health Clinic/Center Primary 261QS1000XNone 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.