Organization
NEFROLOGIA INTERVENCIONAL CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTO LUIS GONZALEZ M.D. (PRESIDENT)
(787) 805-7640
Entity
Organization
Contact information
Practice address
351 AVE HOSTOS, MEDICAL EMPORIUM SUITE 208, MAYAGUEZ, PR 00680-1502
(787) 805-7640
(787) 805-7620
Mailing address
PO BOX 3007, MAYAGUEZ, PR 00681-3007
(787) 805-7640
(787) 805-7620
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12534
PR
Other
Enumeration date
05/24/2006
Last updated
05/05/2008
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