Provider Demographics
NPI:1851341242
Name:GALIBER, ANDRE A (MD)
Entity Type:Individual
Prefix:
First Name:ANDRE
Middle Name:A
Last Name:GALIBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:PO BOX 8511
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00823-8511
Mailing Address - Country:US
Mailing Address - Phone:340-778-5305
Mailing Address - Fax:340-778-2778
Practice Address - Street 1:4500 SION FARM
Practice Address - Street 2:ISLAND MEDICAL CENTER
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4423
Practice Address - Country:US
Practice Address - Phone:340-778-5305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI7862085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIG41322Medicare UPIN