Healthcare Provider Details

I. General information

NPI: 1366633505
Provider Name (Legal Business Name): GAF RADIOLOGY, PSC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 03/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 349 KM 2-7 CERRO LAS MESAS
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

PO BOX 3108
MAYAGUEZ PR
00682-3108
US

V. Phone/Fax

Practice location:
  • Phone: 787-652-6011
  • Fax: 787-806-1502
Mailing address:
  • Phone: 787-652-6011
  • Fax: 787-806-1502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number12849
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number12849
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number12849
License Number StatePR

VIII. Authorized Official

Name: DR. GILBERTO A. FRANCESCHINI-BARRETO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-652-6011