MEDICARE: DR. GERARDO E LATONI M.D.

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	174400000X	Specialist	13477	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	20170A	OTHER	PR	PREFERRED MEDICARE CHOICE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5106085	OTHER	PR	UIA
2	5618	OTHER	PR	FIRST MEDICAL
3	10041	OTHER	PR	CRUZ AZUL
4	660606085	OTHER	PR	MEDICAL CARD SYSTEM
5	PE-4613	OTHER	PR	PAN AMERICAN
6	221055	OTHER	PR	PREFFERRED UTI
8	20248	OTHER	PR	TRIPLE S
9	6800165	OTHER	PR	HUMANA INSURANCE

General Provider Information

NPI Number	:	1770578841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERARDO E LATONI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3605
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00681-3605
Country	:	US
Telephone Number	:	787-834-1021
Fax Number	:	787-834-1051

Provider Business Practice Location Address
First Line	:	CARR 349 KM 2.7 CERRO LAS MESAS
Second Line	:	HOSPITAL BELLA VISTA
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680-0000
Country	:	US
Telephone Number	:	787-834-1021
Fax Number	:	787-834-1051

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	09/07/2010

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Directions to “ DR. GERARDO E LATONI M.D.” Practice Location

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