Provider Demographics
NPI:1770578841
Name:LATONI, GERARDO E (MD)
Entity type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:E
Last Name:LATONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3605
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3605
Mailing Address - Country:US
Mailing Address - Phone:787-834-1021
Mailing Address - Fax:787-834-1051
Practice Address - Street 1:CARR 349 KM 2.7 CERRO LAS MESAS
Practice Address - Street 2:HOSPITAL BELLA VISTA
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-0000
Practice Address - Country:US
Practice Address - Phone:787-834-1021
Practice Address - Fax:787-834-1051
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13477174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5106085OtherUIA
PR5618OtherFIRST MEDICAL
PR10041OtherCRUZ AZUL
PR660606085OtherMEDICAL CARD SYSTEM
PRPE-4613OtherPAN AMERICAN
PR221055OtherPREFFERRED UTI
PR20170AOtherPREFERRED MEDICARE CHOICE
PR20248OtherTRIPLE S
PR6800165OtherHUMANA INSURANCE
PRH82201Medicare UPIN