Organization
GONMAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE M GONZALEZ MACLEAN MD (PRESIDENT)
(787) 738-6444
Entity
Organization
Contact information
Practice address
AVE. BALDORIOTY EDIFICIO #7, CAYEY, PR 00736-3761
(787) 738-6444
Mailing address
PO BOX 372346, CAYEY, PR 00737-2346
(787) 738-6444
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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