# SANDY M. GONZALEZ M.D. P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518357664
- **Authorized official:** DR. SANDY M GONZALEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 725-0380

## Contact information

- **Practice address:** 1492 AVE PONCE DE LEON STE 709, SAN JUAN, PR 00907-4024
- **Practice address phone:** (787) 725-0380
- **Practice address fax:** (787) 725-0315
- **Mailing address:** 1492 AVE PONCE DE LEON STE 709, SAN JUAN, PR 00907-4024
- **Mailing address phone:** (787) 725-0380
- **Mailing address fax:** (787) 725-0315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | 9867 | PR | Yes |

## Other

- **Enumeration date:** 01/28/2015
- **Last updated:** 01/28/2015