Individual
ROBERTO JUAN GANDARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 CALLE MUNOZ RIVERA, ESQUINA GOYCO, CAGUAS, PR 00725-2603
(787) 286-2800
(787) 745-2425
Mailing address
PO BOX 1357, CAGUAS, PR 00726-1357
(787) 745-3508
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
329
PR
208D00000X
General Practice Physician
Primary
11223
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11223
MD LICENCE
PR
01
—
DM 12086-5
NARCOTIC - STATE LICENCE
PR
Enumeration date
08/01/2006
Last updated
03/07/2023
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