Organization
GONZALEZ-DIEZ OTOLARYNGOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANO ENRIQUE GONZALEZ-DIEZ MD (PRESIDENT)
(787) 880-5031
Entity
Organization
Contact information
Practice address
540 AVE MIRAMAR, SUITE 3, ARECIBO, PR 00612-4364
(787) 880-5031
(787) 879-4461
Mailing address
PO BOX 9945, ARECIBO, PR 00613-9945
(787) 880-5043
(787) 817-8861
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
08699
PR
Other
Enumeration date
12/20/2005
Last updated
08/22/2020
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