Alexis De Jesus Gonzalez, 1311P
Emergency Medical Technician, Paramedic in Guaynabo, PR. Individual provider (NPI-1).
NPI number1801001052
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1801001052
- Entity type
- Individual (NPI-1)
- Name
- Alexis De Jesus Gonzalez
- Credential
- 1311P
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146L00000X | Emergency Medical Technician, Paramedic | 1311P | PR | Yes |
Practice location
90 Calle San MartinGuaynabo, PR 00968-1400
Phone 787-754-2550 · Fax 787-781-2063
Mailing address
Po Box 2161San Juan, PR 00922-2161
Phone 787-754-2550 · Fax 787-781-2063
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