Individual
MISS MIRELLA DE JESUS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA 144 KM 2.8, JAYUYA, PR 00664
(787) 828-0613
(787) 828-0613
Mailing address
PO BOX 819, JAYUYA, PR 00664-0819
(787) 828-0613
(787) 828-0613
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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