Individual
MARIA LOURDES GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
F18 CALLE DAMASCO, CAGUAS, PR 00727-6744
(787) 413-1242
(787) 744-0358
Mailing address
F18 CALLE DAMASCO, CAGUAS, PR 00727-6744
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1106
PR
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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