Individual
JAVIER GASCOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
RR 4 BOX 3296, CARR 830 LAS GUABAS, CERRO GORDO, BAYAMON, PR 00956-9413
(787) 390-5533
Mailing address
RR 4 BOX 3296, BAYAMON, PR 00956-9413
(787) 390-5533
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15518
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HW857A
MEDICATE PTAN
PR
Enumeration date
05/11/2006
Last updated
10/06/2014
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