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NPI Code Detail

MEDICARE: MR. DUAMEL GONZALEZ

MEDICARE:  MR. DUAMEL  GONZALEZ
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
1183700000XPharmacy Technician3783PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13783AFOTHERPRPHARMACY TECHNICIAN

General Provider Information

NPI Number : 1376683821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DUAMEL GONZALEZ
Provider Business Mailing Address
First Line : RR 6 BOX 11409
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-9501
Country : US
Telephone Number : 787-368-0931
Fax Number :
Provider Business Practice Location Address
First Line : 115 CALLE RODRIGO DE TRIANA
Second Line : URB. EL VEDADO
City : SAN JUAN
State : PR
Zip : 00918-3207
Country : US
Telephone Number : 787-250-6203
Fax Number : 787-765-1581
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 07/08/2007

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Directions to “ MR. DUAMEL GONZALEZ ” Practice Location

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