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Individual

ANGELICA M GONZALEZ VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DR

Contact information

Practice address
CARR 106 KM 5.1 INT BO QUEMADO, MAYAGUEZ, PR 00680
(787) 503-2484
Mailing address
PO BOX 1720, ANASCO, PR 00610-1720
(787) 503-2484

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
6365
PR
103TC0700X
Clinical Psychologist
Primary
6365
PR

Other

Enumeration date
08/11/2020
Last updated
08/12/2024
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