Provider Demographics
NPI:1790987733
Name:GIHRO
Entity Type:Organization
Organization Name:GIHRO
Other - Org Name:GIHRO MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HERNANDEZ RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-646-1618
Mailing Address - Street 1:PO BOX 622
Mailing Address - Street 2:CARR 404.K.M.0.1,#126
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-0622
Mailing Address - Country:US
Mailing Address - Phone:787-826-3037
Mailing Address - Fax:787-826-3037
Practice Address - Street 1:ROAD 404 K.M.0.1. #126
Practice Address - Street 2:BO. DAGUEY
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-0622
Practice Address - Country:US
Practice Address - Phone:787-826-3037
Practice Address - Fax:787-826-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12336207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR84681Medicare ID - Type Unspecified
PR84680Medicare ID - Type Unspecified