Healthcare Provider Details

I. General information

NPI: 1073336731
Provider Name (Legal Business Name): GRA PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CALLE GAUTIER BENITEZ STE 400
CAGUAS PR
00725-5527
US

IV. Provider business mailing address

C13 CALLE PRINCIPAL
CAGUAS PR
00727-1000
US

V. Phone/Fax

Practice location:
  • Phone: 787-957-8282
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GIOVANNI RAMIREZ-ARROYO
Title or Position: PRESIDENT
Credential: MD
Phone: 787-957-8282