Individual
ANTONIO JOSE GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
CALLE 22 BLOQUE 51, #63 SANTA ROSA, BAYAMON, PR 00959
(787) 780-4346
(787) 780-4576
Mailing address
STREET 22 BLOCK 51, #63 SANTA ROSA, BAYAMON, PR 00959
(787) 780-4346
(787) 780-4576
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
6693
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6693
STATE LINCENSE
PR
Enumeration date
03/09/2007
Last updated
07/08/2007
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