Provider Demographics
NPI:1346320025
Name:GEORGE, REBECA (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECA
Middle Name:
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 CALLE CESAR GONZALEZ
Mailing Address - Street 2:ADLER MEDICAL PLAZA SUITE 508
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3758
Mailing Address - Country:US
Mailing Address - Phone:787-979-3444
Mailing Address - Fax:787-979-3445
Practice Address - Street 1:576 CALLE CESAR GONZALEZ
Practice Address - Street 2:ADLER MEDICAL PLAZA SUITE 508
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3758
Practice Address - Country:US
Practice Address - Phone:787-979-3444
Practice Address - Fax:787-979-3445
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13256207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH67723Medicare UPIN
PR0021050Medicare ID - Type Unspecified