Individual
DR. MARIA DEL CARMEN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 CALLE DR BASORA N, EDIFICIO MEDICO IV STE 102, MAYAGUEZ, PR 00680-4810
(787) 833-0420
(787) 833-0420
Mailing address
55 CALLE DR BASORA N, EDIFICIO MEDICO IV STE 102, MAYAGUEZ, PR 00680-4810
(787) 833-0420
(787) 833-0420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6951
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098502
SSS PROVIDER NUMBER
PR
Enumeration date
10/24/2005
Last updated
07/08/2007
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