Individual
MR. ANDRES GONZALEZ AVILES SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
380 CALLE LA GUADALUPE, MOCA, PR 00676-4316
(787) 604-7573
Mailing address
380 CALLE LA GUADALUPE, MOCA, PR 00676-4316
(787) 604-7573
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
615-0117
PR
Other
Enumeration date
09/07/2005
Last updated
07/08/2007
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