Individual
MOLDAVIA O. TAVAREZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 CALLE ALBIZU CAMPOS, AGUAS BUENAS, PR 00703-3102
(787) 732-8595
Mailing address
PO BOX 243, AGUAS BUENAS, PR 00703-0243
(787) 422-8491
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23264
PR
Other
Enumeration date
04/05/2022
Last updated
07/21/2023
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