Provider Demographics
NPI:1497474183
Name:GONZALEZ GONZALEZ, KAROLANE ARLEEN
Entity Type:Individual
Prefix:
First Name:KAROLANE
Middle Name:ARLEEN
Last Name:GONZALEZ GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 CALLE COCO PLUMOSA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5813
Mailing Address - Country:US
Mailing Address - Phone:407-861-1822
Mailing Address - Fax:
Practice Address - Street 1:99 CALLE COCO PLUMOSA
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5813
Practice Address - Country:US
Practice Address - Phone:407-861-1822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program