Individual
MARIBEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIETICIAN
Contact information
Practice address
1715 AVE PONCE DE LEON, HOSPITAL AUXILIO MUTUO, NUTRITION DEPARTMENT, SAN JUAN, PR 00909-1958
(787) 758-2000
Mailing address
506 VEREDA DEL LAGO, LOS ARBOLES, CAROLINA, PR 00987-7132
(787) 752-2634
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
969
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
969
DIETITIAN'S LICENSE
PR
Enumeration date
06/04/2007
Last updated
07/08/2007
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