Individual
MRS. MARYBEL GONZALEZ-BADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
DOMENECH AVE #281, HATO REY, SAN JUAN, PR 00918
(787) 751-2015
(787) 751-2015
Mailing address
PMB 105 HC-01 BOX 29030, CAGUAS, PR 00725
(787) 453-3968
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
13610
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13610
MEDICAL LICENSE
PR
Enumeration date
03/23/2007
Last updated
03/24/2010
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