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NPI Code Detail

MEDICARE: GABRIEL ROBERTO CASTRO COLON

MEDICARE: GABRIEL ROBERTO CASTRO COLON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician019322PR

General Provider Information

NPI Number : 1407303282
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL ROBERTO CASTRO COLON
Provider Business Mailing Address
First Line : 1379 PASEO DON JUAN APT 6A
Second Line :
City : SAN JUAN
State : PR
Zip : 00907-1461
Country : US
Telephone Number : 787-918-4356
Fax Number :
Provider Business Practice Location Address
First Line : 1395 CALLE SAN RAFAEL
Second Line :
City : SAN JUAN
State : PR
Zip : 00909-2518
Country : US
Telephone Number : 787-999-7620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2016
Last Update Date : 09/28/2021

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Directions to “ GABRIEL ROBERTO CASTRO COLON ” Practice Location

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