Individual
MRS. MICHELLE LINARIS LORENZO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CARR 411 KM 5.9, AGUADA, PR 00602-0060
(939) 286-7050
Mailing address
HC 60 BOX 15262, AGUADA, PR 00602
(939) 286-7050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
14406
PR
235Z00000X
Speech-Language Pathologist
Primary
004115
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5079064
LICENSE
PR
Enumeration date
09/12/2018
Last updated
12/06/2023
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