Provider Demographics
NPI:1023854783
Name:VINER, GEAN CARLOS (MD)
Entity type:Individual
Prefix:
First Name:GEAN
Middle Name:CARLOS
Last Name:VINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB SABANERA
Mailing Address - Street 2:295 CALLE CAMINO DE LOS ROBLES
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:480-298-1464
Mailing Address - Fax:
Practice Address - Street 1:URB SABANERA
Practice Address - Street 2:295 CALLE CAMINO DE LOS ROBLES
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:480-298-1464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program