Provider Demographics
NPI:1184895005
Name:MONAGAS, GABRIEL OSCAR (MD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:OSCAR
Last Name:MONAGAS
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:PO BOX 2061
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-2061
Mailing Address - Country:US
Mailing Address - Phone:617-314-4558
Mailing Address - Fax:
Practice Address - Street 1:55 CALLE MEDITACION
Practice Address - Street 2:OFICINA 6-A
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4882
Practice Address - Country:US
Practice Address - Phone:617-314-4558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16960208D00000X, 2085R0204X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program