Antonio Jose Gallardo MEDICAL DOCTOR

NPI 1174654040 - Clinic/Center - 261QA0005X

NPI Details
NPI 1174654040
Gender Male
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
CALLE 22 BLOQUE 51
#63 SANTA ROSA
BAYAMON PR, 00959, US
Phone (787) 780-4346
Fax (787) 780-4576
Business Location
STREET 22 BLOCK 51
#63 SANTA ROSA
BAYAMON PR, 00959, US
Phone (787) 780-4346
Fax (787) 780-4576
Toxanomy
Taxonomy Code 261QA0005X
License State Puerto Rico
License Number 6693
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According to our database, Antonio Jose Gallardo MEDICAL DOCTOR NPI is 1174654040, taxonomy code is 261QA0005X and license number is 6693, license state is located at Puerto Rico. Antonio Jose Gallardo MEDICAL DOCTOR physically located at Calle 22 Bloque 51, Bayamon PR, 00959. NPI Number Antonio Jose Gallardo MEDICAL DOCTOR has the Individual type.

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1174654040 NPI number is provided on an as is basis without warranty of any kind. 1174654040 is maintained by the National Plan & Provider Enumeration System. The contents of Antonio Jose Gallardo MEDICAL DOCTOR are for informational purposes only.