Provider Demographics
NPI:1144228537
Name:GIRAU, EDWIN F (MD)
Entity Type:Individual
Prefix:MR
First Name:EDWIN
Middle Name:F
Last Name:GIRAU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 948718
Mailing Address - Street 2:SABANA BRANCH
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-8718
Mailing Address - Country:US
Mailing Address - Phone:787-883-2766
Mailing Address - Fax:787-883-2725
Practice Address - Street 1:EMILIO GIBOYEAUX
Practice Address - Street 2:# 28
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:787-883-2766
Practice Address - Fax:787-883-2725
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2012-10-12
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Provider Licenses
StateLicense IDTaxonomies
PR10829208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
G00890Medicare UPIN