Individual
MODESTO J GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARR 107 KM 2 9, BO BORINQUEN, AGUADILLA, PR 00603
(787) 891-7428
(787) 891-7428
Mailing address
PO BOX 250128, AGUADILLA, PR 00604-0128
(787) 891-7428
(787) 891-7428
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
6296
PR
Other
Enumeration date
08/05/2006
Last updated
05/20/2022
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