Individual
MR. WILSON GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
CENTRO SALUD MENTAL DE MAYAGUEZ, 410 AVE HOSTOS SUITE 7, MAYAGUEZ, PR 00682-1522
(787) 832-6771
(787) 832-6771
Mailing address
424 CUMBERS DE MIRADERO, MAYAGUEZ, PR 00682
(787) 834-0598
(787) 832-6771
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4396
PR
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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