Individual
MARIO GONZALEZ CARBONELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 CALLE PALMA, ARECIBO, PR 00612-4526
(787) 309-2546
Mailing address
1509 AVE PONCE DE LEON, SAN JUAN, PR 00909-1771
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22947
PR
207Y00000X
Otolaryngology Physician
314380
NY
Other
Enumeration date
05/05/2017
Last updated
04/18/2024
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