Individual
MITZY M GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
FORWARD CENTER BUILDING 105, CARR. JOSE KIKO CUSTODIO, SAN JUAN, PR 00927
(939) 237-4793
Mailing address
FORWARD CENTER BUILDING 105, CARR JOSE KIKO CUSTODIO KM. 0.8, SAN JUAN, PR 00927
(939) 237-4793
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
89527
PR
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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