Individual
GISELLE MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE LAUREL, BAYAMON, PR 00956
(312) 678-1656
Mailing address
PO BOX 1677, AIBONITO, PR 00705-1677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35516R
PR
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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