Individual
CONSUELO AMALIA MENA-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
712 CALLE CENTRAL APT 601, SAN JUAN, PR 00907-4151
(310) 600-7783
(939) 336-2476
Mailing address
712 CALLE CENTRAL APT 601, SAN JUAN, PR 00907-4151
(310) 600-7783
(939) 336-2476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8020
PR
Other
Enumeration date
06/05/2016
Last updated
06/05/2016
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