Provider Demographics
NPI:1811237902
Name:GIRAD, LLC
Entity Type:Organization
Organization Name:GIRAD, LLC
Other - Org Name:GIRAD, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:GERSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-423-8310
Mailing Address - Street 1:1315 AVE ASHFORD APT 605
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1375
Mailing Address - Country:US
Mailing Address - Phone:787-423-8301
Mailing Address - Fax:
Practice Address - Street 1:1315 AVE ASHFORD APT 605
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1375
Practice Address - Country:US
Practice Address - Phone:787-423-8301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17874174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty