Individual
MR. JOSE R GUTIERREZ COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 7722 KM 5.6 LA SIERRA, BOX 622, AIBONITO, PR 00705-0622
(787) 735-7129
(787) 735-1679
Mailing address
PO BOX 622, AIBONITO, PR 00705-0622
(787) 735-7129
(787) 735-1679
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
TC AMB 230
PR
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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