Healthcare Provider Details

I. General information

NPI: 1831080514
Provider Name (Legal Business Name): GABRIEL ALEJANDRO PLAUD I MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KM 11.7 PR-2
BAYAMON PR
00959
US

IV. Provider business mailing address

SAUCO 63 CIUDAD JARDIN 3
TOA ALTA PR
00953
US

V. Phone/Fax

Practice location:
  • Phone: 787-620-8181
  • Fax:
Mailing address:
  • Phone: 939-278-4174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number25119
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: