Individual
GILBERTO LUIS HERNANDEZ GOMEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 CALLE DR CUETO, UTUADO, PR 00641-2887
(787) 385-2801
(787) 919-0179
Mailing address
PO BOX 1056, UTUADO, PR 00641-1056
(787) 385-2801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
87152
PR
253Z00000X
In Home Supportive Care Agency
Primary
87152
PR
Other
Enumeration date
09/28/2023
Last updated
06/18/2024
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