Healthcare Provider Details
I. General information
NPI: 1811083447
Provider Name (Legal Business Name): GILBERTO A. MONROIG CRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BOULEVAL. SOTOMAYOR CARR 123 INT CALLE 1 LOTE 6
ADJUNTAS PR
00601
US
IV. Provider business mailing address
PO BOX 981
ADJUNTAS PR
00601
US
V. Phone/Fax
- Phone: 787-376-7659
- Fax: 787-829-4032
- Phone: 787-376-7659
- Fax: 787-829-4032
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 227800000X |
| Taxonomy | Certified Respiratory Therapist |
| License Number | 006 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: