Individual
MISAEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
HC 11 BOX 12309, HUMACAO, PR 00791-7402
(787) 362-0517
Mailing address
HC 11 BOX 12309, HUMACAO, PR 00791-7402
(787) 362-0517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12753
PR
Other
Enumeration date
03/21/2012
Last updated
03/20/2015
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