Healthcare Provider Details

I. General information

NPI: 1184015836
Provider Name (Legal Business Name): GPR ORTHOPEDICS PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2015
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 CALLE CESAR GONZALEZ SUITE 402
SAN JUAN PR
00918-3756
US

IV. Provider business mailing address

576 CALLE CESAR GONZALEZ SUITE 402
SAN JUAN PR
00918-3756
US

V. Phone/Fax

Practice location:
  • Phone: 787-767-5085
  • Fax: 787-767-6876
Mailing address:
  • Phone: 787-767-5085
  • Fax: 787-767-6876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number12262
License Number StatePR

VIII. Authorized Official

Name: DR. GERARDO E PEREZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-538-1034