Individual
MYRIAM YAHAIRA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
FAIRWAY COURTS, HUMACAO, PR 00791
(787) 433-3911
Mailing address
PO BOX 2074, GUAYAMA, PR 00785-2074
(787) 433-3911
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22486
PR
Other
Enumeration date
08/30/2021
Last updated
09/21/2021
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