Healthcare Provider Details

I. General information

NPI: 1033004270
Provider Name (Legal Business Name): RICARDO JOSE GELPI SANTIAGO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO MEDICO BARRIO MONACILLOS
SAN JUAN PR
00935-0001
US

IV. Provider business mailing address

1004 CALLE 26 SE
SAN JUAN PR
00921-2343
US

V. Phone/Fax

Practice location:
  • Phone: 787-800-9325
  • Fax:
Mailing address:
  • Phone: 787-800-9325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: