Individual
DESIREE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
RR 14 BOX 5334, BAYAMON, PR 00956-9711
(787) 279-3632
Mailing address
RR 14 BOX 5334, BAYAMON, PR 00956-9711
(787) 279-3632
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
75668
PR
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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