Individual
WIGBERTO JOSUE GONZALEZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,MPH
Contact information
Practice address
70 CALLE SANTA CRUZ, BAYAMON, PR 00961-7052
(787) 620-4747
Mailing address
1 CALLE 11 APT 705, SAN JUAN, PR 00926-6043
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19863
PR
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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