Individual
JEREMY JOSE GONZALEZ ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MANSIONES DE SIERRA TAINA CALLE 5 #93, BAYAMON, PR 00956
(787) 963-4807
Mailing address
HC67 BOX 93 MANSIONES DE SIERRA TAINA, BAYAMON, PR 00956
(787) 963-4807
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
03/28/2024
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