Individual
GLORIA GONZALEZ GOTAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
M7 CALLE 8, VEGA ALTA, PR 00692-6016
(787) 312-8909
Mailing address
PO BOX 493, VEGA ALTA, PR 00692-0493
(787) 312-8909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
504
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504
—
PR
Enumeration date
08/26/2021
Last updated
08/26/2021
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