Individual
ASHLEY MARIE GONZALEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HOSPITAL METROPOLITANO DE LA MONTANA, CALLE ISAAC GONZALEZ MARTINEZ ESQ LEDESMA, UTUADO, PR 00641
(787) 368-7205
Mailing address
URB VILLA PRADES, 615 CALLE FELIPE GUTIERREZ, SAN JUAN, PR 00924
(787) 368-7205
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21262
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21262
LICENCIA
PR
Enumeration date
04/25/2019
Last updated
04/25/2019
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