Individual
MRS. EDDIE N GONZALEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH
Contact information
Practice address
CARR.635 K.0.1 BO.DOMINGUITO, BOX 9906, ARECIBO, PR 00613
(787) 880-4806
(787) 878-2065
Mailing address
PO BOX 9906, ARECIBO, PR 00613-9906
(787) 880-4806
(787) 878-2065
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
000815
PR
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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