Individual
MARIO ENRIQUE GONZALEZ BAUZA SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 CALLE DEL CARMEN, RIO GRANDE, PR 00745-3026
(787) 887-3259
Mailing address
3 CALLE DEL CARMEN, PO BOX 817, RIO GRANDE, PR 00745-3026
(787) 887-3259
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2010
PR
Other
Enumeration date
07/29/2005
Last updated
07/08/2007
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