Individual
MADELINE GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR. 456 KM 5.1 BO CIBAO, HC- 01 BOX 4849, CAMUY, PR 00627
(787) 262-9194
Mailing address
CARR. 456 KM 5.1 BO CIBAO, HC- 01 BOX 4849, CAMUY, PR 00627
(787) 262-9194
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3791
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3791
PHARMACIST TECHNICIAN
PR
Enumeration date
02/15/2007
Last updated
07/08/2007
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