Individual
DR. CARLOS RUBEN GONZALEZ FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
923 AVE CAMPO RICO, COUNTRY CLUB, SAN JUAN, PR 00924
(787) 750-0444
Mailing address
PO BOX 29005, PMB 620, SAN JUAN, PR 00929-0005
(787) 755-3894
(787) 757-3128
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12662
PR
Other
Enumeration date
09/07/2006
Last updated
03/22/2019
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