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1205836301
MARIO ENRIQUE GONZALEZ BAUZA
RIO GRANDE, PR
NPI
1205836301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: PR 2010)
Enumeration Date
2005-07-29
Last Update Date
2007-07-08
Business Address
-- MARIO ENRIQUE GONZALEZ BAUZA MD
3 CALLE DEL CARMEN
RIO GRANDE, PR 00745-3026
Phone number: 787-887-3259
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Mailing Address
-- MARIO ENRIQUE GONZALEZ BAUZA MD
3 CALLE DEL CARMEN PO BOX 817
RIO GRANDE, PR 00745-3026
Phone number: 787-887-3259
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