Doctor Name: | JAVIER GASCOT |
NPI Number: | 1386694305 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 15518 |
Business Practice Address: | Rr 4 Box 3296 Carr 830 Las Guabas, Cerro Gordo Bayamon, PR - 009569413 |
Business Phone Number: | 7873905533 |
Business Fax Number: | |
Mailing Address: | Rr 4 Box 3296, BAYAMON |
State: | PR |
Postal Code: | 009569413 |
Phone Number: | 7873905533 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 10/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |