Individual
ANGEL LUIS GONZALEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
#8 CALLE AGUSTIN COLON PACHECO, SALINAS, PR 00751
(787) 824-2076
Mailing address
HC 2 BOX 4836, COAMO, PR 00769-9586
(787) 322-0071
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
12363
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6179205
DRIVER LICENSE
PR
Enumeration date
01/07/2020
Last updated
01/07/2020
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