Organization
MEDICINA FAMILIAR JOHANNIE GONZALEZ MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNIE GONZALEZ (PRESIDENT)
(787) 820-8334
Entity
Organization
Contact information
Practice address
BO BAYANEY, CARR 129 KM 13.6, HATILLO, PR 00659
(787) 317-7196
Mailing address
HC 3 BOX 20416, ARECIBO, PR 00612-8126
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
01/04/2021
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