Individual
MRS. VIVIAN M GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, ASCP
Contact information
Practice address
MANSIONES PUERTO GALEXDA, A4, PENUELAS, PR 00624-0490
(787) 396-7122
Mailing address
MANSIONES PUERTO GALEXDA, A4, PENUELAS, PR 00624
(787) 396-7122
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
5745
PR
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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