Individual
BRYAN GREGORY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
D173 CALLE REPUBLICA DOMINICA, CAROLINA, PR 00987-7009
(787) 585-9111
Mailing address
D173 CALLE REPUBLICA DOMINICA, CAROLINA, PR 00987-7009
(787) 585-9111
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
82639
PR
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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