Individual
MRS. RUTH O GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
CENTRO COOP, SUITE2, AGUADA, PR 00602-0953
(787) 895-4883
Mailing address
PO BOX 953, SUITE5000, AGUADA, PR 00602-0953
(787) 895-4883
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
832623
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106
LND
PR
01
—
832623
RD
PR
Enumeration date
02/02/2007
Last updated
07/08/2007
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