Provider Demographics
NPI:1750483111
Name:ALBINO, GILDA A (DMD)
Entity Type:Individual
Prefix:DR
First Name:GILDA
Middle Name:A
Last Name:ALBINO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3207 LASCUMBRES AVENUE
Mailing Address - Street 2:PASEODELBOSQUE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-0000
Mailing Address - Country:US
Mailing Address - Phone:787-747-6939
Mailing Address - Fax:787-747-6939
Practice Address - Street 1:F3 AVE DEGETAU
Practice Address - Street 2:BONNEVILLE TERRACE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-5839
Practice Address - Country:US
Practice Address - Phone:787-747-6939
Practice Address - Fax:787-747-6939
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice