MEDICARE: DR. HAMID GALIB MD

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
1	207RG0100X	Gastroenterology Physician	4312	PR

General Provider Information

NPI Number	:	1508825159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAMID GALIB MD

Provider Business Mailing Address
First Line	:	URB SAN IGNACIO
Second Line	:	CALLE SAN ROBERTO # 16
City	:	SAN JUAN
State	:	PR
Zip	:	00927-0001
Country	:	US
Telephone Number	:	787-726-0440
Fax Number	:	787-792-1741

Provider Business Practice Location Address
First Line	:	1801 AVE PONCE DE LEON
Second Line	:	SUITE 205
City	:	SAN JUAN
State	:	PR
Zip	:	00909-1900
Country	:	US
Telephone Number	:	787-726-0440
Fax Number	:	787-727-5574

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	01/28/2010

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