Individual
MR. EFRAIN GONZALEZ-GRAJALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 125, KM 05 INT, CAMINO CORDERO, BO. PALMAR, AGUADILLA, PR 00603
(787) 460-9077
(787) 252-1385
Mailing address
HC 02 BOX 21953, AGUADILLA, PR 00603-0507
(787) 460-9077
(787) 252-1385
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
P1080
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70521
PREFERRED MEDICARE CHOICE
PR
Enumeration date
06/03/2006
Last updated
11/03/2010
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