Healthcare Provider Details

I. General information

NPI: 1477688877
Provider Name (Legal Business Name): GELPI BROTHERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 05/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 AVE AMERICO MIRANDA REPARTO METROPOLITANO
SAN JUAN PR
00921-2804
US

IV. Provider business mailing address

PO BOX 363808
SAN JUAN PR
00936-3808
US

V. Phone/Fax

Practice location:
  • Phone: 787-767-0012
  • Fax: 787-751-4374
Mailing address:
  • Phone: 787-764-2655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number07F-0592
License Number StatePR

VIII. Authorized Official

Name: MR. JOSE GONZALEZ
Title or Position: MANAGER
Credential:
Phone: 787-767-0012