Gonzalez Bossolo, Alex N

Gonzalez Bossolo, Alex N is an sole proprietor health care provider with primary practice located at 1801 Ave Ponce De Leon Santurce Medical Mall Suit 308 , San Juan PR 00909. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Gonzalez Bossolo, Alex N can be contacted via phone (787) 726-1100.

Contact Information

Primary practice address
1801 Ave Ponce De Leon Santurce Medical Mall Suit 308 San Juan PR 00909
Phone: (787) 726-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 19367 Puerto Rico

Profile Details

NPI number 1457606444
LBN Legal business name Gonzalez Bossolo, Alex N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2012
Last updated Aug 6th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457606444 NPPES
Other 1457606444 NPI

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