Provider Demographics
NPI:1326049156
Name:MELERO GIGANTE, GUSTAVO A (MD)
Entity Type:Individual
Prefix:DR
First Name:GUSTAVO
Middle Name:A
Last Name:MELERO GIGANTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 BLVD DE LA MONTANA APT 643
Mailing Address - Street 2:URB FLORES DE MONTEHIEDRA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7029
Mailing Address - Country:US
Mailing Address - Phone:787-706-1315
Mailing Address - Fax:787-781-5923
Practice Address - Street 1:1789 CARR 21
Practice Address - Street 2:TORRE HOSPITAL METROPOLITANO SUITE 309
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3333
Practice Address - Country:US
Practice Address - Phone:787-706-1315
Practice Address - Fax:787-781-5923
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2013-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR13177207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0090344Medicare ID - Type Unspecified