Individual
MR. JEREMIE GONZALEZ ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LT
Contact information
Practice address
251 CALLE PRINCIPAL NUEVA VIDA EL TUQUE, PONCE, PR 00728
(787) 341-8282
Mailing address
PO BOX 9022, PONCE, PR 00732-9022
(787) 341-8282
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
00-25
PR
225700000X
Massage Therapist
Primary
802
PR
225700000X
Massage Therapist
MSG004108
PA
Other
Enumeration date
10/25/2012
Last updated
02/06/2020
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