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Individual

DR. GABRIELA R DE BOER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
PR 1 AVE SAKURA, PLAZA BAIROA SUITE 245, CAGUAS, PR 00725
(787) 641-3030
Mailing address
PO BOX 3445, HICKORY, NC 28603-3445
(828) 322-2050
(828) 324-4271

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2016-00916
NC
207W00000X
Ophthalmology Physician
23423
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033471768
NC
01
13837568
CAQH
01
1853558
WELLCARE
NC
01
19LIP
BCBS
NC
01
4188317
ENVOLVE
NC
01
A28835
EYEMED
NC
Enumeration date
06/08/2012
Last updated
12/31/2025
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