MEDICARE: ANDRE A GALIBER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	786	VI

General Provider Information

NPI Number	:	1851341242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRE A GALIBER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8511
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00823-8511
Country	:	US
Telephone Number	:	340-778-5305
Fax Number	:	340-778-2778

Provider Business Practice Location Address
First Line	:	4500 SION FARM
Second Line	:	ISLAND MEDICAL CENTER
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4423
Country	:	US
Telephone Number	:	340-778-5305
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	07/08/2007

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