Gallardo, Antonio Jose
Gallardo, Antonio Jose is an sole proprietor health care provider with primary practice located at Calle 22 Bloque 51 #63 Santa Rosa, Bayamon PR 00959. He recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Family Planning Facility, which is considered as his primary health care specialty. Gallardo, Antonio Jose can be contacted via phone (787) 780-4346.Contact Information
Primary practice address
Calle 22 Bloque 51 #63 Santa Rosa
Bayamon PR 00959
Phone: (787) 780-4346
Fax: (787) 780-4576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Family Planning Facility | 261QA0005X | 6693 | Puerto Rico |
Profile Details
| NPI number | 1174654040 |
|---|---|
| LBN Legal business name | Gallardo, Antonio Jose |
| Credentials | MEDICAL DOCTOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174654040 | NPPES |
| Puerto Rico | Other | 6693 | STATE LINCENSE |
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