Individual
DR. SIBASKY GONZALEZ SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR. EST. PR-460, KM. 0.1, BO. CAIMITAL ALTO, AGUADILLA, PR 00603
(787) 659-0000
Mailing address
LAS CASONAS C19, AGUADA, PR 00602
(787) 370-7107
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23216
PR
363AM0700X
Medical Physician Assistant
001590-PA
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
12/13/2021
Last updated
05/09/2023
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