Medicina Familiar Johannie Gonzalez MD LLC
General Practice in Hatillo, PR. Organization (NPI-2).
NPI number1124635453
StatusActive
Last updated in NPPESJan 4, 2021
Details
- NPI
- 1124635453
- Entity type
- Organization (NPI-2)
- Legal business name
- Medicina Familiar Johannie Gonzalez MD LLC
- Organization subpart
- No
- Enumeration date
- Sep 30, 2020
- Certification date
- Jan 4, 2021
- Last updated
- Jan 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
Bo BayaneyCarr 129 Km 13.6
Hatillo, PR 00659
Phone 787-317-7196
Mailing address
Hc 3 Box 20416Arecibo, PR 00612-8126
Authorized official
Johannie Gonzalez
President
7878208334
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