Individual
KETSIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2225 PONCE BYPASS EDIFICIO PARRA SUITE 603, PONCE, PR 00717-0071
(787) 492-2000
Mailing address
219 BO CHINO, VILLALBA, PR 00766-3002
(872) 674-4784
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1035
PR
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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