Individual
DR. JOSE IVAN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VILLA RITA K7 CALLE 7, SAN SEBASTIAN, PR 00685
(787) 514-5804
Mailing address
VILLA RITA K7 CALLE 7, SAN SEBASTIAN, PR 00685
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18094
PR
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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