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Individual

DR. SAMUEL A GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
LA FUENTE TOWN CENTER, MARGINAL 706 STE 11139, GUAYAMA, PR 00784
(787) 866-1500
(787) 866-1652
Mailing address
PO BOX 177, GUAYAMA, PR 00785-0177
(787) 866-1500
(787) 866-1570

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
12702
PR
207RH0003X
Hematology & Oncology Physician
ME121889
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014027200
FL
Enumeration date
11/18/2005
Last updated
06/15/2021
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