Provider Demographics
NPI:1023795770
Name:CARO GONZALEZ, ANTOINETTE MARIETTE
Entity type:Individual
Prefix:DR
First Name:ANTOINETTE
Middle Name:MARIETTE
Last Name:CARO 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:PO BOX 1572
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-1572
Mailing Address - Country:US
Mailing Address - Phone:787-240-9573
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 2 KM 1.4 AVE. SEVERIANO CUEVAS #18
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-658-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program