Provider Demographics
NPI:1891963625
Name:GEMEFA, INC.
Entity Type:Organization
Organization Name:GEMEFA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENTE
Authorized Official - Prefix:
Authorized Official - First Name:MAXIMINO
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-737-6441
Mailing Address - Street 1:166-O ANDRES RUIZ RIVERA
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-737-6441
Mailing Address - Fax:
Practice Address - Street 1:166-O ANDRES RUIZ RIVERA
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-737-6441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization