# ANGEL GONZALEZ PEREZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angel L. Gonzalez
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720196017
- **Authorized official:** MR. ANGEL LUIS GONZALEZ EMT (OWNER)
- **Authorized official phone:** (787) 530-8953

## Contact information

- **Practice address:** CARR. 110 KM12.8, BO. PUEBLO, MOCA, PR 00676
- **Practice address phone:** (787) 530-8953
- **Practice address fax:** (787) 818-1122
- **Mailing address:** PO BOX 1438, MOCA, PR 00676-1438
- **Mailing address phone:** (787) 530-8953
- **Mailing address fax:** (787) 818-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC-AMB-101 | PR | Yes |

## Other

- **Enumeration date:** 08/27/2006
- **Last updated:** 07/11/2008