Organization
GLG PREVENTIVE MEDICINE CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERMAN L GONZALEZ GONZALEZ (PRESIDENT)
(787) 264-2124
Entity
Organization
Contact information
Practice address
CARR 2 KM 171.5 MARGINAL, SAN GERMAN, PR 00683
(787) 264-2124
Mailing address
PO BOX 923, HORMIGUEROS, PR 00660-0923
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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