Individual
DR. JORGE R MATTA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 AVE LUIS MUNOZ MARIN, QUADRANGLE MEDICAL CENTER, CAGUAS, PR 00725-3975
(787) 744-0857
Mailing address
PO BOX 9634, CAGUAS, PR 00726-9634
(787) 744-0857
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
15959
PR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
15959
PR
Other
Enumeration date
12/06/2006
Last updated
11/22/2016
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