Healthcare Provider Details

I. General information

NPI: 1689953309
Provider Name (Legal Business Name): GUMET INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2011
Last Update Date: 08/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 CALLE DOLORES CABRERA ALONSO W
HUMACAO PR
00791-4095
US

IV. Provider business mailing address

VILLA STATION 216 VILLA UNIVERSITARIA
HUMACAO PUERTO RICO
00791
UM

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. MARICARMEN FRANCESCHI MUNOZ
Title or Position: ADMINISTRATOR
Credential: MHSA
Phone: 787-852-2470