Geraldo Gonzalez, m.d.
General Practice in Lares, PR. Individual provider (NPI-1).
NPI number1164590816
StatusActive
Last updated in NPPESOct 16, 2015
Details
- NPI
- 1164590816
- Entity type
- Individual (NPI-1)
- Name
- Geraldo Gonzalez
- Credential
- m.d.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Oct 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 13643 | PR | Yes |
Practice location
Carr 129 Km 21.2Lares, PR 00669-0916
Phone 787-897-0560
Mailing address
Po Box 916Lares, PR 00669-0916
Phone 787-897-0560
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