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Individual

DR. ADOLFO GONZALEZ SAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
408 CALLE ALMIRANTE, MAYAGUEZ, PR 00682-6242
(787) 241-6256
Mailing address
408 CALLE ALMIRANTE, MAYAGUEZ, PR 00682-6242
(787) 241-6256

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12955
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0090248
PTAN MEDICARE
PR
Enumeration date
07/19/2006
Last updated
10/01/2013
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