Individual
MODESTO FERNANDO GONZALEZ DEL ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 PONCE DE LEON, SUITE 716, HATO REY, PR 00917
(787) 765-3079
(787) 767-7170
Mailing address
735 PONCE DE LEON, SUITE 716, HATO REY, PR 00917
(787) 765-3079
(787) 767-7170
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
5694
PR
Other
Enumeration date
05/03/2006
Last updated
09/08/2010
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