BRYAN GREGORY GONZALEZ
NPI 1104669373
Registered Nurse - General Practice in Carolina, PR
Active since June 17, 2024
About Bryan Gregory Gonzalez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYAN GREGORY GONZALEZ (NPI 1104669373) is an individual general practice provider in Carolina, Puerto Rico, licensed in Puerto Rico (82639) and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1104669373
Entity TypeIndividualMale
Primary Taxonomy163WG0000X
Provider Legal NameBRYAN GREGORY GONZALEZ
Location AddressD173 CALLE REPUBLICA DOMINICACarolina, PR 00987-7009
Mailing AddressD173 Calle Republica DominicaCarolina, PR 00987-7009 · (787) 585-9111
Phone(787) 585-9111
Sole ProprietorYes
Enumeration DateJune 17, 2024
NPPES CertifiedJune 16, 2024
✔ NPI 1104669373 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in PR · 82639
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104669373, enumerated as an "individual" on June 17, 2024.
The provider is located at D173 CALLE REPUBLICA DOMINICA CAROLINA, PR 00987 and the phone number is (787) 585-9111.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
