Individual
JOSE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PYCHOLOGIST
Contact information
Practice address
BARCELO #12 ESQ 173, CIDRA, PR 00739-0000
(787) 739-2054
Mailing address
BOX 114, AIBONITO, PR 00705-0114
(787) 378-4112
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5318
PR
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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