Individual
NOEMI GONZALEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 353 KM 1.0 INT CAMINO LOS BORRERO, MAYAGUEZ, PR 00680-9426
(787) 944-6805
Mailing address
HC 4 BOX 46891, MAYAGUEZ, PR 00680-9426
(787) 944-6805
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1986086
ADMINISTRATION
PR
Enumeration date
02/11/2021
Last updated
03/29/2021
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