Healthcare Provider Details

I. General information

NPI: 1578609939
Provider Name (Legal Business Name): ANGEL LUIS GELPI GUZMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TORRE MEDICA DR. PEDRO BLANCO LUGO SUITE 209 HOSPITAL DOCTORS CENTER
MANATI PR
00674
US

IV. Provider business mailing address

P O BOX 842
MANATI PR
00674
US

V. Phone/Fax

Practice location:
  • Phone: 784-884-5094
  • Fax: 787-884-7119
Mailing address:
  • Phone: 787-884-5094
  • Fax: 787-884-7119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number8503
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier067719
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerCRUZ AZUL
# 2
Identifier80664
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerREFORMA
# 3
Identifier1517
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerPMC
# 4
Identifier209044
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerUTI
# 5
Identifier80664
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerSSS
# 6
Identifier1711
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerIMC
# 7
Identifier378503
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerUIA
# 8
Identifier601764
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerMMM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: