Fadhel, Gustavo

Fadhel, Gustavo is an sole proprietor health care provider with primary practice located at San Juan City Hospital Medical Center, San Juan PR 00936. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Fadhel, Gustavo can be contacted via phone (787) 766-2223.

Contact Information

Primary practice address
San Juan City Hospital Medical Center San Juan PR 00936
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 1685 Puerto Rico

Profile Details

NPI number 1386638088
LBN Legal business name Fadhel, Gustavo
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2005
Last updated Dec 3rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386638088 NPPES
Puerto Rico Other 1223P0700X TAXONOMY

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