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Individual

MR. JOSE G GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
TEM, RN

Contact information

Practice address
CARR 420 KM 4.0 INT BO PLATA, HC-04 BOX 13942, MOCA, PR 00676
(787) 218-7890
Mailing address
CARR 420 KM 4.0 INT BO PLATA, HC-04 BOX 13942, MOCA, PR 00676
(787) 218-7890

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
2267-P
PR
163W00000X
Registered Nurse
14089P
PR

Other

Enumeration date
05/13/2010
Last updated
05/13/2010
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