Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROSARIO GONZAGA, MD PA
Deactivated OrganizationROSARIO GONZAGA, MD PA is a Pediatrics organization located in LAVALE, Maryland. NPI 1356684302 is deactivated in the NPPES registry. Verify at CMS.
Pediatrics · LAVALE, MD
This NPI has been deactivated.
The record was deactivated on October 21, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1356684302
- Provider Type
- Organization
- NPI Issued
- Mar 28, 2013 (6.5655737704918 yrs)
- Last Updated
- Aug 17, 2023
- Deactivated
- Oct 21, 2019
- Licenses
-
D39811 (MD)D22277 (MD)
Practice Information
- Address
-
957 NATIONAL HWYLAVALE, MD, 21502Browse MD providers · Browse ZIP 21502
- Phone
- 3017299475
- Fax
- 3017299474
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.