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Individual

MISS MANUEL GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CALLE RIEFKHOL 1A, PATILLAS, PR 00723
(787) 204-5480
(787) 839-9344
Mailing address
PO BOX 1300, PATILLAS, PR 00723-1300
(787) 204-5480
(787) 839-9344

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10283
PR

Other

Enumeration date
10/23/2006
Last updated
05/30/2012
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