| NPI | 1952956765 |
|---|---|
| Former Legal Business Name | SACHA C GONZALEZ AVILES SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | SACHA C GONZALEZ AVILES Provider 787-455-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |