Doctor Name: | DR. GUELMI GONZALEZ |
NPI Number: | 1710015243 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 14445 |
Business Practice Address: | Q42 Calle 19 Vista Azul Arecibo, PR - 006122639 |
Business Phone Number: | 7876458872 |
Business Fax Number: | |
Mailing Address: | Q42 Calle 19, Vista Azul ARECIBO |
State: | PR |
Postal Code: | 006122639 |
Phone Number: | 7876458872 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 11/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |