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Individual

DR. JEAN CARLOS ALVAREZ GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CARR 931 KM 5.5 BO NAVARRO PRADERAS SHOPPING CENTER, GURABO, PR 00778
(787) 743-1985
(787) 744-6276
Mailing address
2 CALLE ALMONTE APT 508, SAN JUAN, PR 00926-2413
(787) 629-1381

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22524
PR
363AM0700X
Medical Physician Assistant
1054PA
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1054PA
PHYSICIAN ASSITANT LICENCE
PR
05
22524
PR
Enumeration date
08/26/2021
Last updated
08/27/2021
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