Doctor Name: | DR. GUSTAVO ADOLFO DE LA PAZ ALEGRET |
NPI Number: | 1073796082 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 16994 |
Business Practice Address: | 155 Calle Guajataca Crown Hills San Juan, PR - 009266004 |
Business Phone Number: | 7872165144 |
Business Fax Number: | |
Mailing Address: | 155 Calle Guajataca, Crown Hills SAN JUAN |
State: | PR |
Postal Code: | 009266004 |
Phone Number: | 7872165144 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2007 |
NPI Last Update Date: | 12/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |