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Search › Rhode Island › 104100000X

Enrique Gonzalez, LCDP

NPI 1427079086 · on the registry since 2006

Practice

Address
530 N Main St
Providence, RI 02904
Phone
(401) 274-2500
Organisation at this address
Genoa Healthcare Llc
The Providence Center
The Providence Center
The Providence Center
The Providence Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
337

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YA0400X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island