Doctor Name: | EDUARDO GORROCHATEGUI |
NPI Number: | 1063845279 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 29255-R |
Business Practice Address: | Caparra Real F19 Guaynabo, PR - 009661905 |
Business Phone Number: | 7873631013 |
Business Fax Number: | |
Mailing Address: | Cond. Puerta Del Parque 1412, Hacienda San Jose CAGUAS |
State: | PR |
Postal Code: | 00725 |
Phone Number: | 7873631013 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2013 |
NPI Last Update Date: | 08/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 29255-R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |