Gonzalez, Ivelisse

Gonzalez, Ivelisse is an sole proprietor health care provider with primary practice located at Suite 603#68 St. Cruz St Torre San Pablo Suite #603, Bayamon PR 00961-7035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Gonzalez, Ivelisse can be contacted via phone (787) 786-2469.

Contact Information

Primary practice address
Suite 603#68 St. Cruz St Torre San Pablo Suite #603 Bayamon PR 00961-7035
Phone: (787) 786-2469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 10207 Puerto Rico

Profile Details

NPI number 1508827403
LBN Legal business name Gonzalez, Ivelisse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2006
Last updated Sep 30th, 2013 - about 12 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 1508827403 NPPES
Puerto Rico Other 82563GO SSS

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