Individual provider · Type 1 NPI

Lissette Carmen Gonzalez

Student in an Organized Health Care Education/Training Program · Mayaguez, PR

NPI number 1114718004 Active

Practice location

325 Ave Algarrobo # 175
Mayaguez, PR 00682-6343

Call (787) 641-7582 Map

Mailing address

PO Box 10
Moca, PR 00676-0010

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114718004

Lissette Carmen Gonzalez's National Provider Identifier is 1114718004, issued on May 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mayaguez, PR. The record was last updated on May 15, 2025.