Gallardo, Antonio Jose

Gallardo, Antonio Jose is an sole proprietor health care provider with primary practice located at Calle 22 Bloque 51 #63 Santa Rosa, Bayamon PR 00959. He recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Family Planning Facility, which is considered as his primary health care specialty. Gallardo, Antonio Jose can be contacted via phone (787) 780-4346.

Contact Information

Primary practice address
Calle 22 Bloque 51 #63 Santa Rosa Bayamon PR 00959
Phone: (787) 780-4346
Fax: (787) 780-4576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Family Planning Facility 261QA0005X 6693 Puerto Rico

Profile Details

NPI number 1174654040
LBN Legal business name Gallardo, Antonio Jose
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 17 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 1174654040 NPPES
Puerto Rico Other 6693 STATE LINCENSE

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