Provider Demographics
NPI:1073962049
Name:TIGER MED CORP
Entity Type:Organization
Organization Name:TIGER MED CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:J
Authorized Official - Last Name:GANDARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-525-0388
Mailing Address - Street 1:3 MUNOZ RIVERA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00972-0000
Mailing Address - Country:US
Mailing Address - Phone:787-286-2800
Mailing Address - Fax:787-286-2805
Practice Address - Street 1:3 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0000
Practice Address - Country:US
Practice Address - Phone:787-286-2800
Practice Address - Fax:787-286-2805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care