Individual
MICHELLE MARIE GONZALEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
AVE PONCE DE LEON, PARADA 37 1/2 #715, SAN JUAN, PR 00918-1000
(787) 758-2000
Mailing address
16-20 PASEO DE LA ALHAMBRA, TORRIMAR, GUAYNABO, PR 00966-3118
(787) 783-9554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14257
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1112597
ACAA
PR
01
—
23231GO
TRIPLE S
PR
Enumeration date
05/20/2006
Last updated
07/08/2007
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