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Individual

LUIS GILBERTO GODREAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1681 PASEO VILLA FLORES, SUITE 204, PONCE, PR 00716-2952
(787) 844-3737
(787) 290-5959
Mailing address
PO BOX 801054, COTO LAUREL, PR 00780-1054
(787) 984-8937
(787) 984-8937

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13592
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7660028
PROVIDER HUMANA
PR
01
8-4082
PROVIDER SSS
PR
Enumeration date
09/20/2006
Last updated
07/09/2007
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