Individual
DR. RICHARD GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4132 CALLE AURORA, SUITE 101, PONCE, PR 00717-1254
(787) 843-6710
Mailing address
PO BOX 7023, PONCE, PR 00732-7023
(787) 843-6710
(787) 841-6818
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4103
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063850
CRUZ AZUL
PR
01
—
1972
IMC
PR
01
—
200055
MMM
PR
01
—
7320027
HUMANA
PR
01
—
95180
TRIPLE-S
PR
Enumeration date
11/30/2005
Last updated
07/08/2007
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