Organization
GOLD STAR MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHID M CHAUDHARY-MIAN MD (PRESIDENT)
(787) 673-1238
Entity
Organization
Contact information
Practice address
#2 MUNOZ RIVERA, BO. PUEBLO, HORMIGUEROS, PR 00660
(787) 673-1238
Mailing address
#184 CALLE VALENCIA, URB. LA SALAMANCA, SAN GERMAN, PR 00683
(787) 673-1238
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371248
REGISTER NUMBER
PR
Enumeration date
08/19/2021
Last updated
08/19/2021
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