Individual
OLWENS MEDINA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 PORTAL DEL VALLE, JUANA DIAZ, PR 00795
(787) 373-8273
Mailing address
81 PORTAL DEL VALLE, JUANA DIAZ, PR 00795
(787) 373-8273
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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