Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 28887 | AL |
NPI | 1326044231 |
---|---|
Provider Name | Antonio R Gonzalez-Ruiz |
First Address | Homewood, AL 35209-6899 |
Second Address | Homewood, AL 35209-6899 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 10/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000064957 | ANTHEM COMMERICAL (01) | OH |
000000064957 | ANTHEM MEDICAID (01) | OH |
01616 | PARAMOUNT (01) | OH |
0929802 | (05) | OH |
124629 | CARE CHOICES (01) | OH |
124629 | PRIORITY HEALTH (01) | MI |
19687 | GREAT LAKES HEALTH CARE (01) | MI |
344428256 | BEECH STREET (01) | CA |
344428256 | EMERALD (01) | OH |
344428256 | FRONTPATH (01) | OH |
344428256099 | CARESOURCES (01) | OH |
3489970 | (05) | MI |
4326824 | AETNA (01) | OH |
9180 | HEALTH PLAN MI (01) | MI |
C36324 | (02) | OH |
C36324 | HEALTH ALLICANCE PLAN (01) | MI |
OC02562 | NATIONWIDE (01) | OH |