Doctor Name: | JAIME R. GIERBOLINI |
NPI Number: | 1023391059 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. D. |
License Number: | 28753-R |
Business Practice Address: | Urb. El Eden D4 Coamo, PR - 00769 |
Business Phone Number: | 7874097536 |
Business Fax Number: | |
Mailing Address: | Po Box 114, COAMO |
State: | PR |
Postal Code: | 007690114 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/26/2011 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 28753-R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |