Provider Demographics
NPI:1528038007
Name:GIAMBARTOLOMEI, ELVIRA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELVIRA
Middle Name:
Last Name:GIAMBARTOLOMEI
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:COND. NEW CENTER PLAZA
Mailing Address - Street 2:210 CALLE JOSE OLIVER APT.1506
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-2990
Mailing Address - Country:US
Mailing Address - Phone:787-751-9518
Mailing Address - Fax:
Practice Address - Street 1:EDIF. MIDTOWN OFIC.508
Practice Address - Street 2:AVE. PONCE DE LEON 420
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-764-2709
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR46782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG66786Medicare ID - Type Unspecified