| Doctor Name: | ANALIESE MEDERO-GIERBOLINI |
| NPI Number: | 1881832152 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 17,360 |
| Business Practice Address: | Carr. 175 Km 9.2 Cam. Eduvige Rivera Bo. Carraizo Bajo Trujillo Alto, PR - 009766170 |
| Business Phone Number: | 7877553003 |
| Business Fax Number: | |
| Mailing Address: | Rr 2 Box 543, SAN JUAN |
| State: | PR |
| Postal Code: | 009269226 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2009 |
| NPI Last Update Date: | 08/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17,360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |