Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 807 | PR |
NPI | 1154088870 |
---|---|
Provider Name | Ramses V Gonzalez |
First Address | Aguada, PR 00602-8664 |
Second Address | Ponce, PR 00716-0203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2021 |
Last Update Date | 17/11/2021 |