Individual
NANETTE L GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
252 CALLE SAN JORGE, SUITE 406 SAN JORGE MEDICAL OFFICE, SAN JUAN, PR 00912-3310
(787) 726-0210
(787) 728-5136
Mailing address
URB LAS VEREDAS 169, LAS VEREDAS DE LAS PALMAS, GURABO, PR 00778-9680
(787) 616-7287
(787) 728-5136
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13443
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20430
SSS
PR
Enumeration date
06/20/2006
Last updated
07/08/2007
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