Individual
DR. JOSE E SERRA-GAZTAMBIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL INDUSTRIAL-CENTRO MEDICO, BO. MONACILLOS, SAN JUAN, PR 00936
(787) 754-2525
(787) 767-3968
Mailing address
MONTEATENAS RR36 BOX 60, SAN JUAN, PR 00926
(787) 760-1294
(787) 767-3968
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
7946
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07284DM3
STATE NARCOTICS LICENSE
PR
01
—
7946
STATE LICENSE
PR
01
—
BS0321138
FEDERAL NARCOTICS LICENSE
—
Enumeration date
05/02/2007
Last updated
07/08/2007
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