Most Relevant Information
Provider Data
| NPI Number: | 1003524158 |
| Provider Name: | KETSIA GONZALEZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 1035 |
Most Important Dates
| Enumeration Date: | 11/08/2022 |
| Last Updated: | 11/08/2022 |
Provider Practice Location
2225 PONCE BYPASS EDIFICIO PARRA SUITE 603
PONCE
PR
007170071
Practice Location Phone/Fax
| Phone: | 7874922000 |
| Fax: |
Provider Mailing Location
219 BO CHINO
VILLALBA
PR
007663002
Provider Mailing Phone/Fax
| Phone: | 8726744784 |
| Fax: |