Individual
RONALD GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 CALLE LA CANDELARIA, MAYAGUEZ, PR 00680
(727) 488-8400
Mailing address
6426 TAILFEATHER WAY, BRADENTON, FL 34203-7109
(727) 488-8400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21199
PR
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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