Organization
DRA MADELINE FERNANDEZ GONZALEZ CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELINE FERNANDEZ GONZALEZ MD (PRESIDENT)
(787) 843-0003
Entity
Organization
Contact information
Practice address
2431 BLVD LUIS A FERRE, EDIFICIO PORRATA PILA STE 311, PONCE, PR 00717-2113
(787) 843-0003
(787) 843-0003
Mailing address
2431 BLVD LUIS A FERRE, EDIFICIO PORRATA PILA STE 311, PONCE, PR 00717-2113
(787) 843-0003
(787) 841-1086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11858
PR
Other
Enumeration date
09/14/2006
Last updated
12/29/2016
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