Individual
MICHELLE ILEANA SURILLO-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
PO BOX 331948, PONCE, PR 00733-1948
(787) 448-8845
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21909
PR
207P00000X
Emergency Medicine Physician
299368
NY
Other
Enumeration date
08/09/2016
Last updated
08/21/2020
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