Most Relevant Information
Provider Data
| NPI Number: | 1003252255 |
| Provider Name: | MARIA LOURDES GONZALEZ OTL |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 1106 |
Most Important Dates
| Enumeration Date: | 05/15/2013 |
| Last Updated: | 05/15/2013 |
Provider Practice Location
F18 CALLE DAMASCO
CAGUAS
PR
007276744
Practice Location Phone/Fax
| Phone: | 7874131242 |
| Fax: | 7877440358 |
Provider Mailing Location
F18 CALLE DAMASCO
CAGUAS
PR
007276744
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |