Healthcare Provider Details

I. General information

NPI: 1386179844
Provider Name (Legal Business Name): GUMET INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2017
Last Update Date: 04/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 VILLA UNIVERSITARIA VILLA STATION
HUMACAO PR
00791
US

IV. Provider business mailing address

55 CALLE LUIS MUNOZ MARIN ESQ ULISES MARTINEZ
HUMACAO PR
00791
US

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 Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: DR. ELBA H ALGARIN
Title or Position: PRESIDENTA
Credential:
Phone: 787-852-2470