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Individual

MISS MIRELYS GONZALEZ ROSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STUDENT

Contact information

Practice address
407 BO GUANIQUILLA, AGUADA, PR 00602-4049
(787) 718-3587
Mailing address
407 BO GUANIQUILLA, AGUADA, PR 00602-4049
(787) 718-3587

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13326
PR
390200000X
Student in an Organized Health Care Education/Training Program
R00375148
PR

Other

Enumeration date
09/11/2014
Last updated
12/28/2017
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