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Individual

MR. JORGE L GONZALEZ SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
19 CALLE FIGUERAS INTERSECCION CALLE ERMERINDA RIVERA, JAYUYA, PR 00664
(787) 828-0900
(787) 828-7017
Mailing address
PO BOX 488, JAYUYA, PR 00664-0488
(787) 828-0900
(787) 828-7017

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAM-743
PR

Other

Enumeration date
09/13/2017
Last updated
09/13/2017
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