Gervais, Wagner
Gervais, Wagner is an sole proprietor health care provider with primary practice located at 151 Calle Las Lomas , San Juan PR 00926-5527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Gervais, Wagner can be contacted via phone (956) 578-6712.Contact Information
Primary practice address
151 Calle Las Lomas
San Juan PR 00926-5527
Phone: (956) 578-6712
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | 258-PA | Puerto Rico |
Profile Details
| NPI number | 1518596295 |
|---|---|
| LBN Legal business name | Gervais, Wagner |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2020 |
| Last updated | Apr 5th, 2020 - about 6 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.
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