Provider Demographics
NPI:1275177990
Name:GALIBER, JORGE
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:GALIBER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-0580
Mailing Address - Country:US
Mailing Address - Phone:787-879-1769
Mailing Address - Fax:
Practice Address - Street 1:167 CALLE SAN FELIPE
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4680
Practice Address - Country:US
Practice Address - Phone:787-879-1769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental