Gonzalez, Carlos Jacobo

Gonzalez, Carlos Jacobo is an sole proprietor health care provider with primary practice located at 2367 Calle Loma Urb. Valle Alto, Ponce PR 00730-4146. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Gonzalez, Carlos Jacobo can be contacted via phone (787) 595-0612.

Contact Information

Primary practice address
2367 Calle Loma Urb. Valle Alto Ponce PR 00730-4146
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 13614 Puerto Rico
Other Service Providers / Community Health Worker 172V00000X 19154 Puerto Rico

Profile Details

NPI number 1124426242
LBN Legal business name Gonzalez, Carlos Jacobo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2014
Last updated Sep 30th, 2015 - about 9 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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