Individual
DR. MIGUEL RAFAEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY,D
Contact information
Practice address
88 CARR 174, BAYAMON, PR 00956-3055
(787) 380-7686
(787) 786-8413
Mailing address
TANAMA #6 BO SANTANA, P.O BOX 875, ARECIBO, PR 00612
(787) 380-7686
(787) 786-8413
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2112
PR
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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