Individual
CARLOS RONALD PEDRAZA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 2 KM 141.1 AVE SEVERIANO CUEVAS, AGUADILLA, PR 00603
(787) 658-0200
Mailing address
PO BOX 2304, MOCA, PR 00676-2304
(787) 415-3408
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21590
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2018
Last updated
12/18/2019
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