| Doctor Name: | DR. JOEL GONZALEZ |
| NPI Number: | 1013064500 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 14730 |
| Business Practice Address: | Calle Cerra Final 900 Centro Dr. Gualberto Rabell Santurce, PR - 00907 |
| Business Phone Number: | 7877231360 |
| Business Fax Number: | 7877236247 |
| Mailing Address: | Po Box 366794, SAN JUAN |
| State: | PR |
| Postal Code: | 009366794 |
| Phone Number: | 9396409559 |
| Fax Number: | 7877618187 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 03/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |