Individual
MR. JAIME LUIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
51 BO PALO ALTO, MANATI, PR 00674-6903
(787) 317-9786
(787) 780-1674
Mailing address
PO BOX 207, MANATI, PR 00674-0207
(787) 317-9786
(787) 780-1674
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2190
PR
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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