Individual
FELIX MIGUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1492 AVE PONCE DE LEON STE 104, SAN JUAN, PR 00907-4008
(787) 518-5304
Mailing address
PO BOX 8477, SAN JUAN, PR 00910-0477
(787) 590-8422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18546
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18546
MEDICAL LICENSE
PR
Enumeration date
07/27/2009
Last updated
05/17/2024
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