| Doctor Name: | DR. GILDA B PEREZ MORENO |
| NPI Number: | 1073575833 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 15583 |
| Business Practice Address: | Rr 1 Calle 12 Suite 3 Barrio Cana Bayamon, PR - 009576245 |
| Business Phone Number: | 7876499348 |
| Business Fax Number: | 7872687237 |
| Mailing Address: | 74 Calle Venus, Piso 2 Urb. Atlantic View CAROLINA |
| State: | PR |
| Postal Code: | 009794805 |
| Phone Number: | 7876499348 |
| Fax Number: | 7872687237 |
| NPI Enumeration Date: | 04/05/2006 |
| NPI Last Update Date: | 03/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |