Individual
LUIS F GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DM
Contact information
Practice address
CARR 857 KM 0.4 BO CANOVANILLAS, DENTALIA MEDIKA CORP, CAROLINA, PR 00987-0800
(787) 363-9378
(787) 276-2923
Mailing address
PO BOX 800, CAROLINA, PR 00986-0800
(787) 363-9378
(787) 276-2923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1272
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1272
DENTIST LICENCES
PR
Enumeration date
02/05/2007
Last updated
07/08/2007
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