Individual
MR. JOSE MANUEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS.,SLT
Contact information
Practice address
CARRETERA 113 KM. 14.8, SAN ANTONIO, QUEBRADILLAS, PR 00678-7305
(787) 452-7525
Mailing address
24875 CALLE MONTADERO, QUEBRADILLAS, PR 00678-7305
(787) 452-7525
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
002140
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80004796168
—
PR
Enumeration date
08/08/2013
Last updated
08/08/2013
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