Healthcare Provider Details

I. General information

NPI: 1053618744
Provider Name (Legal Business Name): GUMET INC. CLINICAS NOCTURNAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2011
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 ESQ ULISES MARITNEZ
HUMACAO PR
00791-4095
US

IV. Provider business mailing address

VILLA STATION 216
HUMACAO PR
00791
US

V. Phone/Fax

Practice location:
  • Phone: 787-852-2470
  • Fax: 787-285-4165
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARICARMEN FRANCESCHI
Title or Position: ADMINISTRATOR
Credential:
Phone: 787-582-2470