Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 16790 | PR |
NPI | 1013112317 |
---|---|
Provider Name | Dr. Betzaida Gonzalez Valentin |
First Address | Mayaguez, PR 00682-7453 |
Second Address | Mayaguez, PR 00682-7453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 08/07/2007 |