Wagner Gervais
Family Medicine, Adolescent Medicine in San Juan, Puerto Rico
1518596295- Practice location
- 151 Calle Las Lomas, San Juan, PR 00926-5527
- Phone
- 956-578-6712
- Fax
- —
- Last updated
- April 5, 2020
Wagner Gervais is a Family Medicine, Adolescent Medicine based in San Juan, PR. Wagner Gervais practices in San Juan, PR. The NPI Number for Wagner Gervais is 1518596295 and holds a License No. 258-PA (PR). The current practice location address for Wagner Gervais is 151 Calle Las Lomas, San Juan, PR 00926-5527 and can be reached out via phone at 956-578-6712.
Provider Profile Details
- NPI Number
- 1518596295
- Provider Name
- Wagner Gervais
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 151 Calle Las Lomas, San Juan, PR 00926-5527
- Phone Number
- 956-578-6712
- Primary Taxonomy
- Family Medicine, Adolescent Medicine · 207QA0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 5, 2020
- Last Update Date
- April 5, 2020
- Certification Date
- April 5, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 151 Calle Las Lomas
San Juan, PR 00926-5527 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00926-5527
- Phone Number
- 956-578-6712
Provider Business Mailing Address Details
- Address
- 151 Calle Las Lomas
San Juan, PR 00926-5527 - City
- San Juan
- State
- PR
- Zip
- 00926-5527
License Information
- License Number
- 258-PA
- License State
- PR
- Taxonomy
- Family Medicine, Adolescent Medicine · 207QA0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Wagner Gervais?
The NPI number of Wagner Gervais is 1518596295. It was assigned on April 5, 2020 and is currently active in the NPPES registry.
What is the specialty of Wagner Gervais?
Wagner Gervais is registered under the primary taxonomy Family Medicine, Adolescent Medicine (code 207QA0000X), licensed in PR under license number 258-PA.
Where does Wagner Gervais practice?
The practice location is 151 Calle Las Lomas, San Juan, PR 00926-5527. The office can be reached at 956-578-6712 (phone).
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 1518596295 directly on the NPPES registry website.