Healthcare Provider Details

I. General information

NPI: 1144435140
Provider Name (Legal Business Name): JOSE GABRIEL RIGAU-PEREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

554 CALLE PERSEO COND. IBERIA I, APT. 1001
SAN JUAN PR
00920-4205
US

IV. Provider business mailing address

554 CALLE PERSEO COND. IBERIA I, APT. 1001
SAN JUAN PR
00920-4205
US

V. Phone/Fax

Practice location:
  • Phone: 787-783-7379
  • Fax:
Mailing address:
  • Phone: 787-783-7379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number005181
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: