Active NPIIndividual provider

Dr. Jose G Gandara, MD

Radiology, Diagnostic Radiology in Mayaguez, Puerto Rico

NPI Number1700966553
Practice location
351 Ave Hostos, Medical Emporium, Suite 110, Mayaguez, PR 00680-1502
Fax
787-806-3315
Last updated
March 12, 2019

Jose G Gandara is a Radiology, Diagnostic Radiology based in Mayaguez, PR. Jose G Gandara practices in Mayaguez, PR and has the professional credentials of MD. The NPI Number for Jose G Gandara is 1700966553 and holds a License No. 12588 (PR). The current practice location address for Jose G Gandara is 351 Ave Hostos, Medical Emporium, Suite 110, Mayaguez, PR 00680-1502 and can be reached out via phone at 787-805-2041 and via fax at 787-806-3315.

Provider Profile Details

NPI Number
1700966553
Provider Name
Jose G Gandara
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
351 Ave Hostos, Medical Emporium, Suite 110, Mayaguez, PR 00680-1502
Phone Number
787-805-2041
Fax Number
787-806-3315
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2006
Last Update Date
March 12, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
351 Ave Hostos
Medical Emporium, Suite 110
Mayaguez, PR 00680-1502
Zip
00680-1502
Phone Number
787-805-2041
Fax Number
787-806-3315
Mayaguez, PR 00680Get directions →

Provider Business Mailing Address Details

Address
Po Box 876
Mayaguez, PR 00681-0876
City
Mayaguez
State
PR
Zip
00681-0876
Phone Number
787-805-2041
Fax Number
787-806-3315

License Information

License Number
12588
License State
PR
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · 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. Jose G Gandara, MD?

The NPI number of Dr. Jose G Gandara, MD is 1700966553. It was assigned on October 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jose G Gandara, MD?

Dr. Jose G Gandara, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in PR under license number 12588.

Where does Dr. Jose G Gandara, MD practice?

The practice location is 351 Ave Hostos, Medical Emporium, Suite 110, Mayaguez, PR 00680-1502. The office can be reached at 787-805-2041 (phone) or 787-806-3315 (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 1700966553 directly on the NPPES registry website.

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