Organization
PRENTA PUERTO RICO EAR NOSE AND THROAT AFFILATES GRP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS GONZALEZ-AQUINO MD (MEMBER)
(787) 268-2300
Entity
Organization
Contact information
Practice address
252 CALLE SAN JORGE STE 501, SAN JUAN, PR 00912-3241
(787) 268-2300
(787) 268-3055
Mailing address
PO BOX 362707, SAN JUAN, PR 00936-2707
(787) 268-2300
(787) 268-3055
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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