Individual
MISS MELISSA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTA
Contact information
Practice address
URB. VILLA BLANCA CALLE AQUAMARINA, # 66, CAGUAS, PR 00725
(787) 743-3385
(787) 743-1030
Mailing address
HC 30 BOX 32805, SAN LORENZO, PR 00754-9727
(787) 736-9227
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
711
PR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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