Individual
GREGORI RAFAEL TRONCOSO CANELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 AVE HOSTOS, SAN JUAN, PR 00918-3201
(787) 488-0292
(939) 355-0129
Mailing address
Y25 CALLE VIOLETA, CAROLINA, PR 00985-4251
(939) 383-3113
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1589
PR
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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