Individual
JOSE RAMON GONZALEZ CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SANTURCE MEDICAL MALL AVE.PONCE DE LEON 1801, SUITE#302, SANTURCE, PR 00909
(787) 727-0060
(787) 761-4318
Mailing address
138 AVE WINSTON CHURCHILL, SUITE#423, SAN JUAN, PR 00926-6013
(787) 460-0478
(787) 761-4318
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5737
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26193
MEDICARE PROVIDER
PR
01
—
27226
MEDICARE NUMBER
PR
01
—
5737
STATE LICENCE
PR
Enumeration date
04/10/2006
Last updated
10/13/2014
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