Individual
MRS. JULISSA MARIE GONZALEZ FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MANATI MEDICAL CENTER, CALLE HERNANDEZ CARRION, URB. ATENAS, MANATI, PR 00674
(787) 621-3700
Mailing address
HC 4 BOX 55705, MOROVIS, PR 00687-7301
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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