Individual
JUSTO LUIS GONZALEZ FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 CALLE BARBOSA, ISABELA, PR 00662-2956
(786) 683-9580
Mailing address
2717 BERRYKNOLL PL, VALRICO, FL 33596-5730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2306
PR
Other
Enumeration date
01/21/2025
Last updated
10/30/2025
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