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Individual
MR. RODOLFO GONZALES SAN JUAN
Active
Individual
MR. RODOLFO GONZALES SAN JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
50652
HI
163WG0600X
Gerontology Registered Nurse
20200099687
MD
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
2000643163
CA
Other
Enumeration date
09/13/2007
Last updated
11/20/2025
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