Edgar Gonzalez

NPI #1881127512 in Patillas, Puerto Rico

Provider Information

NPI Number: 1881127512
Entity Type: Individual
Name: Edgar Gonzalez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Apr 10, 2017
Last Updated: Apr 10, 2017

Practice Location

Address: 99 CALLE GUILLERMO RIEFKKOHL
City: Patillas
State: Puerto Rico
ZIP Code: 00723
Phone: (787) 839-4320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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