Individual
DR. JAVIER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL EPISCOPAL SAN LUCAS PONCE, AVE TITO CASTRO, NUM. 917 PO BOX 336810, PONCE, PR 00733
(787) 843-3031
Mailing address
1225 BLVD SAN LUIS H13, URB VILLAS DE LAUREL I, COTO LAUREL, PONCE, PR 00780
(305) 992-8155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME143212
FL
363A00000X
Physician Assistant
PA9105692
FL
390200000X
Student in an Organized Health Care Education/Training Program
33161R
PR
Other
Enumeration date
10/26/2010
Last updated
07/21/2022
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