Provider Demographics
NPI:1922202431
Name:GONZALEZ, NORMAN OSVALDO (DC)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:OSVALDO
Last Name:GONZALEZ
Suffix:
Gender:M
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:PO BOX 790
Mailing Address - Street 2:
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-0790
Mailing Address - Country:US
Mailing Address - Phone:787-849-1510
Mailing Address - Fax:787-849-1514
Practice Address - Street 1:ROAD #2 KM 166.4
Practice Address - Street 2:BO. LAVADERO
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660
Practice Address - Country:US
Practice Address - Phone:787-849-1510
Practice Address - Fax:787-849-1514
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor