IndividualActive
Bryan Gonzalez
NPI 1104669373 · General Practice Registered Nurse · Carolina, PR
Provider details
- NPI number
- 1104669373
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 82639 (PR)
Specialties & taxonomies
Nursing Service Providers
Practice location
D173 Calle Republica Dominica
Carolina, PR 00987-7009
Phone: (787) 585-9111
Mailing address
D173 Calle Republica Dominica
Carolina, PR 00987-7009
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2024-06-17
- Certified
- 2024-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.