Individual
LINA NIEVES GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTH
Contact information
Practice address
AVENIDA HOSTOS, # 1274, PONCE, PR 00732
(787) 813-1972
(787) 813-1756
Mailing address
PO BOX 360325, SAN JUAN, PR 00936-0325
(787) 767-6710
(787) 758-0950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
594
PR
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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