NPI 1760977425 · live from the CMS NPI Registry
Rene Alonzo, MD
Family Medicine in Goshen, IN. National Provider Identifier 1760977425, active.
NPI record
| NPI | 1760977425 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2014 S Main St Ste B, Goshen, IN 46526 |
| Practice phone | 574-533-8639 |
| Enumerated | June 26, 2018 |
| Last updated | March 18, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Addiction Medicine | 207QA0401X | 01084341A (IN) |
| General Practice | 208D00000X | 01084341A (IN) |
| Family Medicine primary | 207Q00000X | 01084341A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.