Individual
MR. LUIS MANUEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIENCIADO
Contact information
Practice address
2U5 AVE LAUREL, BAYAMON, PR 00956-3340
(787) 233-2747
Mailing address
100 CALLE 220 APT 109, CAROLINA, PR 00982-2802
(787) 233-2747
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
001198
PR
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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