Organization Name: | GRUPO GINECO-OBSTETRICO DEL NORTE PSC |
NPI Number: | 1013013465 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GISELLE M TRILLO (BILLING/ADMINISTRATOR) |
Mailing Address: | 66 Calle Georgetti San Juan |
State: | PR US |
Postal Code: | 00925 |
Phone Number: | 7877654208 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 09/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |