| Doctor Name: | DR. GLORIA T INTRIAGO |
| NPI Number: | 1316371347 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D |
| License Number: | 020999 |
| Business Practice Address: | Carretera 365 Kil 2.5 Interior Barrio Guama San German, PR - 006830804 |
| Business Phone Number: | 8568319018 |
| Business Fax Number: | |
| Mailing Address: | Po Box 804, Po Box 804 SAN GERMAN |
| State: | PR |
| Postal Code: | 006830804 |
| Phone Number: | 8568319018 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2013 |
| NPI Last Update Date: | 08/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 020999 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |