Individual
FABIAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
T.S
Contact information
Practice address
HC 1 BOX 11041, PENUELAS, PR 00624-9200
(787) 601-0130
Mailing address
HC 1 BOX 11041, PENUELAS, PR 00624-9200
(787) 601-0130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9024
PR
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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