Provider Demographics
NPI:1558810853
Name:GONZALEZ RODRIGUEZ, APOLONIA KLOE (DC)
Entity Type:Individual
Prefix:DR
First Name:APOLONIA
Middle Name:KLOE
Last Name:GONZALEZ RODRIGUEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 VIA CANADA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-3052
Mailing Address - Country:US
Mailing Address - Phone:787-344-6181
Mailing Address - Fax:
Practice Address - Street 1:BS6 CALLE 18
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1430
Practice Address - Country:US
Practice Address - Phone:787-373-8464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0618111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor