Serra-Gaztambide, Jose E

Serra-Gaztambide, Jose E is an sole proprietor health care provider with primary practice located at Hospital Industrial-Centro Medico Bo. Monacillos, San Juan PR 00936. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Serra-Gaztambide, Jose E can be contacted via phone (787) 754-2525.

Contact Information

Primary practice address
Hospital Industrial-Centro Medico Bo. Monacillos San Juan PR 00936
Phone: (787) 754-2525
Fax: (787) 767-3968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 7946 Puerto Rico

Profile Details

NPI number 1568683852
LBN Legal business name Serra-Gaztambide, Jose E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1568683852 NPPES
Puerto Rico Other 07284DM3 STATE NARCOTICS LICENSE
Puerto Rico Other 7946 STATE NARCOTICS LICENSE
Puerto Rico Other BS0321138 STATE NARCOTICS LICENSE

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