Individual
ANNETTE DE LOURDES GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 BLVD MEDIA LUNA APT 8504, CAROLINA, PR 00987-5231
(787) 391-6130
Mailing address
32 BLVD MEDIA LUNA APT 8504, CAROLINA, PR 00987-5231
(787) 391-6130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
302
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302
NUMERO DE LICENCIA
PR
Enumeration date
05/05/2022
Last updated
05/05/2022
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