Healthcare Provider Details

I. General information

NPI: 1932177326
Provider Name (Legal Business Name): HECTOR F. GORBEA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1462 C PROF AUGUSTO RODRIGUEZ PAVIA SANTURCE
SAN JUAN PR
00910
US

IV. Provider business mailing address

550 AVE DE LA CONSTITUCION APT 908
SAN JUAN PR
00901-2315
US

V. Phone/Fax

Practice location:
  • Phone: 787-414-1575
  • Fax:
Mailing address:
  • Phone: 787-414-1575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number6608
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: