Individual
LUIS EDGARDO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VA MEDICAL CENTER, 10 CALLE CASIA, SAN JUAN, PR 00921-3201
(787) 641-7582
Mailing address
COND. ANDREA'S COURT, 370 CALLE 10 APT. 3, TRUJILLO ALTO, PR 00976
(787) 475-6425
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
15,562
PR
208100000X
Physical Medicine & Rehabilitation Physician
238,357
NY
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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