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Individual

MR. JESUS GONZALEZ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
HIMA AVE LUIS MUNOZ MARIN, STE 114, CAGUAS, PR 00725
(787) 258-4936
(787) 258-4936
Mailing address
D8 CALLE VAN GOGH, 5TAS DE SAN LUIS, CAGUAS, PR 00725-7622
(787) 258-4936
(787) 258-4936

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8576
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28576
MEDICAL CARD SYSTEM
PR
01
80048GO
TRIPLE S
PR
01
M6783
CRUZ AZUL
PR
Enumeration date
12/21/2005
Last updated
07/08/2007
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