Individual
INDRA FEBLES-GORDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
COND.PLAZA REALCAPARRA, #187 CARR# 2 APT#202, GUAYNABO, PR 00966-1816
(787) 439-9095
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11047
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040216
FHC OPTIONS
—
01
—
065526
CRUZ AZUL
—
01
—
1114
REFORMA PUBLIC HEALTH INS
PR
01
—
1929
MMM #
—
01
—
2191
HUMANA
—
01
—
3655
IMC INTL MEDICAL CARD
—
Enumeration date
08/16/2005
Last updated
10/14/2011
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