Doctor Name: | DR. GIOVANNI GIULIO LUIGI |
NPI Number: | 1811106834 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 12162 |
Business Practice Address: | 162 Ave Pedro Albizu Campos Suite 1 Aguadilla, PR - 006035725 |
Business Phone Number: | 7878824993 |
Business Fax Number: | 7879972084 |
Mailing Address: | 162 Ave Pedro Albizu Campos, Suite 1 AGUADILLA |
State: | PR |
Postal Code: | 006035725 |
Phone Number: | 7878824993 |
Fax Number: | 7879972084 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12162 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |