Individual
MR. JOSE J GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
HC 1 BOX 4602, LARES, PR 00669-9630
(787) 204-6470
Mailing address
HC 01 BOX 4602, LARES, PR 00669-9630
(787) 204-6470
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3883
PR
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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