Active NPIIndividual provider

Dr. Gary M Deresh, DPM

Healthcare Provider in Caguas, Puerto Rico

NPI Number1437139409
Practice location
Consolidated Medical Plaza 209, 201 Gautier Benitez, Caguas, PR 00725
Fax
787-745-4695
Last updated
July 13, 2026

Gary M Deresh is a Healthcare Provider based in Caguas, PR. Gary M Deresh practices in Caguas, PR and has the professional credentials of DPM. The NPI Number for Gary M Deresh is 1437139409 and holds a License No. 57 (PR). The current practice location address for Gary M Deresh is Consolidated Medical Plaza 209, 201 Gautier Benitez, Caguas, PR 00725 and can be reached out via phone at 787-745-4695 and via fax at 787-745-4695.

Provider Profile Details

NPI Number
1437139409
Provider Name
Gary M Deresh
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
Consolidated Medical Plaza 209, 201 Gautier Benitez, Caguas, PR 00725
Phone Number
787-745-4695
Fax Number
787-745-4695
Primary Taxonomy
Healthcare Provider · 213ES0131X
Sole Proprietor
No
Provider Enumeration Date
January 18, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Consolidated Medical Plaza 209
201 Gautier Benitez
Caguas, PR 00725
City
Caguas
Zip
00725
Phone Number
787-745-4695
Fax Number
787-745-4695
Caguas, PR 00725Get directions →

Provider Business Mailing Address Details

Address
35 Juan C Bordon Ste 67
Pmb 394
Guaynabo, PR 00969
City
Guaynabo
State
PR
Zip
00969
Phone Number
787-505-9237

License Information

License Number
57
License State
PR
Taxonomy
· 213ES0131X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gary M Deresh, DPM?

The NPI number of Dr. Gary M Deresh, DPM is 1437139409. It was assigned on January 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary M Deresh, DPM?

Dr. Gary M Deresh, DPM is registered under the primary taxonomy Healthcare Provider (code 213ES0131X), licensed in PR under license number 57.

Where does Dr. Gary M Deresh, DPM practice?

The practice location is Consolidated Medical Plaza 209, 201 Gautier Benitez, Caguas, PR 00725. The office can be reached at 787-745-4695 (phone) or 787-745-4695 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437139409 directly on the NPPES registry website.

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