MEDICARE: DR. FLORENCIO GONZALEZ GARCIA D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	352	PR

General Provider Information

NPI Number	:	1174744437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLORENCIO GONZALEZ GARCIA D.C.

Provider Business Mailing Address
First Line	:	1017 CALLE GEN DEL VALLE
Second Line	:
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00924-3722
Country	:	US
Telephone Number	:	787-764-7663
Fax Number	:	787-751-6887

Provider Business Practice Location Address
First Line	:	1017 CALLE GEN DEL VALLE
Second Line	:
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00924-3722
Country	:	US
Telephone Number	:	787-764-7663
Fax Number	:	787-751-6887

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	10/18/2016

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