Provider Demographics
NPI:1861779035
Name:GONZALEZ, LAURA E (AUD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:E
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PALMARES DE MONTEVERDE 94 RAMAL 842
Mailing Address - Street 2:APARTMENT 31-PH2
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-402-8404
Mailing Address - Fax:
Practice Address - Street 1:200 AVE RAFAEL CORDERO # 365
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3740
Practice Address - Country:US
Practice Address - Phone:787-653-6972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist