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Organization
MILLENIAL MEDICAL GROUP
Active
Organization
MILLENIAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN GONZALEZ MD, MHA (OWNER)
(787) 477-3507
Entity
Organization
Contact information
Practice address
199 CALLE GRAN BRETANA, SAN GERMAN, PR 00683-3517
(787) 477-3507
Mailing address
199 CALLE GRAN BRETANA, SAN GERMAN, PR 00683-3517
(787) 477-3507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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