Organization
VILLA LOS SANTOS ADVANTAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA J GONZALEZ M.D. (ADMINISTRADORA)
(787) 817-3144
Entity
Organization
Contact information
Practice address
URB VILLA LOS SANTOS, CALLE 16 V 1, ARECIBO, PR 00612
(787) 817-3144
(787) 879-4315
Mailing address
PO BOX 9091, COTTO STATION, ARECIBO, PR 00613-9091
(787) 878-3144
(787) 879-4315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40011
PROVIDER NUMBER
PR
Enumeration date
07/19/2007
Last updated
07/19/2007
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