HomeNPI Verification

NPI Verification

National Provider Identifier: 1760977425

Rene Alonzo, MD

Individual Provider

Credentials

MD

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Family Medicine, Addiction Medicine

Code: 207QA0401X

General Practice

Code: 208D00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

2014 S MAIN ST STE B

GOSHEN, IN 465265235

Phone: 574-533-8639

NPI Enumeration Date

June 26, 2018

NPI Number

1760977425

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Rene Alonzo, MD - NPI 1760977425 | Provider Verification | HormoneMap