Individual
DR. WALESKA GONZALEZ NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CALLE 111 KM 1.9, LOS PATRIOTAS AVE, LARES, PR 00669
(787) 647-0478
Mailing address
PO BOX 9, HATILLO, PR 00659-0009
(787) 647-0478
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17071
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205008901
HY682A, PTAN
PR
Enumeration date
04/02/2008
Last updated
10/24/2016
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