Provider Demographics
NPI:1578609939
Name:GELPI GUZMAN, ANGEL LUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:LUIS
Last Name:GELPI GUZMAN
Suffix:
Gender:M
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:P O BOX 842
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-884-5094
Mailing Address - Fax:787-884-7119
Practice Address - Street 1:TORRE MEDICA DR. PEDRO BLANCO LUGO SUITE 209
Practice Address - Street 2:HOSPITAL DOCTORS CENTER
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:784-884-5094
Practice Address - Fax:787-884-7119
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8503207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR067719OtherCRUZ AZUL
PR80664OtherREFORMA
PR1517OtherPMC
PR209044OtherUTI
PR80664OtherSSS
PR1711OtherIMC
PR378503OtherUIA
PR601764OtherMMM
PR1711OtherIMC
PR209044OtherUTI