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Individual

DAVID GONZALEZ SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BOCO

Contact information

Practice address
10 CASIA ST, VA MEDICAL CENTER, SAN JUAN, PR 00921
(787) 641-7582
(787) 622-4821
Mailing address
10 CASIA ST, VA MEDICAL CENTER, SAN JUAN, PR 00921
(787) 641-7582
(787) 622-4821

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C46541
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C46541
BOC
Enumeration date
11/26/2008
Last updated
11/26/2008
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