Individual
JOANN MARIE GONZALEZ VALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 AVE HOSTOS, MAYAGUEZ, PR 00682-1560
(787) 652-9200
Mailing address
410 AVE HOSTOS, MAYAGUEZ, PR 00682-1560
(787) 652-9200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R8360
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
19645
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19645
LICENSE
PR
Enumeration date
07/16/2015
Last updated
09/03/2021
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