Individual
ISMAEL GONZALEZ MALDONODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HC 3 BOX 13261, PENUELAS, PR 00624-9822
(787) 901-6892
Mailing address
HC 3 BOX 13261, PENUELAS, PR 00624-9822
(787) 901-6892
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
023857
PR
Other
Enumeration date
05/21/2024
Last updated
09/16/2024
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