Whalio Doctors

NPI 1174124929

Grace Marie Gonzalez, PHYSICIANASSISTANT

Practitioner Medical Physician Assistant Arecibo, PR

Practice location

Address
Rodriguez Olmo, Calle Armando Vega Colon Numero 25, Arecibo, PR 00612
Phone
(939) 491-0265
Mailing address
Rodriguez Olmo Calle Armando Vega Colon No. 25, Arecibo, PR 00612

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 000539-PA (PR)

Registry record

NPI
1174124929
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Nov 2020
Record last updated
11 Nov 2020

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.