# J.A. GONZALEZ & ASSOCIADOS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cancy Convenience Store
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770973604
- **Authorized official:** MR. JOSE A. GONZALEZ II (PRESIDENT)
- **Authorized official phone:** (787) 315-2356

## Contact information

- **Practice address:** CALLE BALDOROTY \#11, (PUEBLO), SANTA ISABEL, PR 00757
- **Practice address phone:** (787) 315-2356
- **Mailing address:** PO BOX 429, SALINAS, PR 00751-0429
- **Mailing address phone:** (787) 315-2356
- **Mailing address fax:** (787) 824-2181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 16-P-2985 | PR | Yes |

## Other

- **Enumeration date:** 01/30/2015
- **Last updated:** 01/30/2015