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Organization

SANDY M. GONZALEZ M.D. P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDY M GONZALEZ M.D. (PRESIDENT)
(787) 725-0380
Entity
Organization

Contact information

Practice address
1492 AVE PONCE DE LEON STE 709, SAN JUAN, PR 00907-4024
(787) 725-0380
(787) 725-0315
Mailing address
1492 AVE PONCE DE LEON STE 709, SAN JUAN, PR 00907-4024
(787) 725-0380
(787) 725-0315

Taxonomy

Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
9867
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003946568
TRIPLE S PUERTO RICO
PR
Enumeration date
01/28/2015
Last updated
01/28/2015
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