Healthcare Provider Details

I. General information

NPI: 1538621891
Provider Name (Legal Business Name): GUMET INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 04/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CALLE DUFRESNE E
HUMACAO PR
00791-3605
US

IV. Provider business mailing address

216 VILLA UNIVESITARIA VILLA STATION
HUMACAO PR
00791
US

V. Phone/Fax

Practice location:
  • Phone: 787-852-2470
  • Fax:
Mailing address:
  • Phone: 787-852-2470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code132700000X
TaxonomyDietary Manager
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MARICARMEN FRANCESCHI
Title or Position: ADMINISTRADORA
Credential: LCDA
Phone: 787-852-2470