Organization
NEURO GI WELLNESS CENTRE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY GONZALEZ-RIVERA MD (PRESIDENT)
(787) 283-0804
Entity
Organization
Contact information
Practice address
200 AVE WINSTON CHURCHILL STE 201, SAN JUAN, PR 00926-6655
(787) 283-0804
(787) 761-5764
Mailing address
PO BOX 1132, TRUJILLO ALTO, PR 00977-1132
(787) 283-0804
(787) 761-5764
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12865
PR
2084N0400X
Neurology Physician
12,865
PR
Other
Enumeration date
02/16/2007
Last updated
09/23/2008
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