Provider Demographics
NPI:1689884157
Name:DURAN, GAILY (MD)
Entity Type:Individual
Prefix:DR
First Name:GAILY
Middle Name:
Last Name:DURAN
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 1:66 RAFAEL MUNOZ
Mailing Address - Street 2:URB. KENNEDY
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678
Mailing Address - Country:US
Mailing Address - Phone:787-895-3086
Mailing Address - Fax:
Practice Address - Street 1:66 CALLE RAFAEL MUNOZ
Practice Address - Street 2:URB. KENNEDY
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-1917
Practice Address - Country:US
Practice Address - Phone:787-895-3086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15659207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine