Individual
DR. GRIMILDA CRISTINA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
472 CALLE DE DIEGO 905A, SAN JUAN, PR 00923-3107
(787) 349-6220
Mailing address
472 CALLE DE DIEGO 905A, SAN JUAN, PR 00923-3107
(787) 349-6220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4124
PR
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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