Individual
FABIOLA NICOLE GONZALEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
COND MEDICAL CENTER PLAZA, 1051 CALLE 3 SE APT 1006, SAN JUAN, PR 00921
(939) 940-6971
Mailing address
COND MEDICAL CENTER PLAZA, 1051 CALLE 3 SE APT 1006, SAN JUAN, PR 00921
(939) 940-6971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17382
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/24/2022
Last updated
12/22/2025
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