Provider Demographics
NPI:1316198351
Name:ESPINOSA, GABRIEL ALBERTO
Entity Type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:ALBERTO
Last Name:ESPINOSA
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 1:138 GREENHILL PASS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-3042
Mailing Address - Country:US
Mailing Address - Phone:210-667-8719
Mailing Address - Fax:210-858-1903
Practice Address - Street 1:138 GRENNHILL PASS ST.
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-3042
Practice Address - Country:US
Practice Address - Phone:210-667-8719
Practice Address - Fax:210-858-1903
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver