Individual
DR. CARLOS JACOBO GONZALEZ SR.
Active
Individual
DR. CARLOS JACOBO GONZALEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
13614
PR
172V00000X
Community Health Worker
Primary
19154
PR
Other
Enumeration date
12/06/2014
Last updated
09/30/2015
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