Healthcare Provider Details

I. General information

NPI: 1780798066
Provider Name (Legal Business Name): GUMET, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 ESQ. ULISES MARTINEZ
HUMACAO PR
00791
US

IV. Provider business mailing address

#216 VILLA STATION
HUMACAO PR
00791
US

V. Phone/Fax

Practice location:
  • Phone: 787-285-5307
  • Fax: 787-285-4165
Mailing address:
  • Phone: 787-285-5307
  • Fax: 787-285-4165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MARICARMEN FRANCESCHI
Title or Position: ADMINISTRATOR
Credential: LCDA.
Phone: 787-285-5306