Provider Demographics
NPI:1265839088
Name:NOE, GILBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:
Last Name:NOE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:L-5 CALLE #1
Mailing Address - Street 2:URB-REXMANOR
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784
Mailing Address - Country:US
Mailing Address - Phone:787-864-6231
Mailing Address - Fax:
Practice Address - Street 1:L5 CALLE 1
Practice Address - Street 2:URB-REXMANOR
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-6018
Practice Address - Country:US
Practice Address - Phone:787-864-6231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18951208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice