Individual
ALEX N GONZALEZ BOSSOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1801 AVE PONCE DE LEON SANTURCE MEDICAL MALL SUIT 308, SAN JUAN, PR 00909
(787) 726-1100
Mailing address
1801 AVE PONCE DE LEON SANTURCE MEDICAL MALL SUIT 308, SAN JUAN, PR 00909
(787) 726-1100
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
19367
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457606444
NPI
—
Enumeration date
07/17/2012
Last updated
08/06/2018
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