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Organization

ELITE PRIMARY AND AESTHETICS MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHANS GONZALEZ GONZALEZ MD (PRESIDENT)
(787) 383-9354
Entity
Organization

Contact information

Practice address
CARR #2, KM 93.6, BARRIO MEMBRILLO, FLAMINGO PLAZA, SUITE 6, SECOND FLOOR, CAMUY, PR 00627
(787) 383-9354
Mailing address
HC 1 BOX 4722, LARES, PR 00669-9619
(787) 383-9354

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
06/27/2022
Last updated
06/27/2022
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