Whalio Doctors

NPI 1124426242

Carlos Jacobo Gonzalez, MD

Practitioner Community Health Worker Ponce, PR

Practice location

Address
2367 Calle Loma Urb. Valle Alto, Ponce, PR 00730-4146
Phone
(787) 595-0612

Registered specialties (2)

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence 19154 (PR)
Community Health Worker
Other Service Providers Taxonomy 172V00000X Licence 13614 (PR)

Registry record

NPI
1124426242
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Dec 2014
Record last updated
30 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.