Healthcare Provider Details

I. General information

NPI: 1427463116
Provider Name (Legal Business Name): GABRIEL ANDRES PEREIRA TORRELLAS M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2014
Last Update Date: 12/05/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO MEDICO CAYEY OFICINA 205
CAYEY PR
00736-2800
US

IV. Provider business mailing address

35 CALLE JUAN C BORBON STE 67-148
GUAYNABO PR
00969-5375
US

V. Phone/Fax

Practice location:
  • Phone: 787-222-3697
  • Fax:
Mailing address:
  • Phone: 787-222-3697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number22776
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier31405
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerMEDICAL LICENCE OF PUERTO RICO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: