WAGNER GERVAIS (NPI# 1518596295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518596295 |
| Entity Type | Individual |
| Full Name | WAGNER GERVAIS |
| Practice Address |
151 Calle Las Lomas San Juan PR 00926-5527 |
| Practice Telephone | 9565786712 |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2020-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
258-PA | PR | Allopathic & Osteopathic Physicians |
| Street Address |
151 CALLE LAS LOMAS |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00926-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336972 | Herold Pierre-louis | Physician Assistant | 151 Calle Las Lomas, San Juan, PR 00926-5527 | 2019-09-27 |
| 1679193445 | Poncelet Michel | Family Medicine | 151 Calle Las Lomas, San Juan, PR 00926-5527 | 2020-04-22 |
| 1881236677 | Simson Raymond | Physician Assistant | 151 Calle Las Lomas, San Juan, PR 00926-5527 | 2019-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023081 | Urology Hub LLC | Internal Medicine | 940 Los Romero St Suite 1540, San Juan, PR 00926 | 2020-11-06 |
| 1700487246 | Elimaliel Suarez Cortes | Psychologist | Carr 877 Km1.6, Camino Las Lomas, San Juan, PR 00926 | 2020-11-02 |
| 1407455405 | Ricardo Enrique Jimenez Ramos | Pharmacist | Professional Offices Park, 1001 Calle San Roberto Suite 101, San Juan, PR 00926 | 2020-10-21 |
| 1679180806 | Nicolle Rodriguez Mercado | Occupational Therapist | Expresso Trujillo Alto Pr-181 Carretera 846, Trujillo Medical, San Juan, PR 00926 | 2020-10-01 |
| 1700493616 | Mana Home Associates, Inc | PACE Provider Organization | 671 Avenida Acuario, Urb Venus Gardens, San Juan, PR 00926 | 2020-09-24 |
| 1497361117 | Victor Francisco Rivera Beltran Sr. | General Practice | 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 | 2020-09-17 |
| 1053925370 | Rafael Esteban Amador Gonzalez | Student in an Organized Health Care Education/Training Program | La Campina 79 Calle 1, San Juan, PR 00926 | 2020-09-03 |
| 1366053811 | Diana Paola Rivera | Psychologist | 706 Avenida Escorial, Caparra Heights, San Juan, PR 00926 | 2020-08-10 |
| 1831708437 | Gymar M Vargas | Student in an Organized Health Care Education/Training Program | Urb La Utt, Calle Juan D Lefebres #10, San Juan, PR 00926 | 2020-07-29 |
| 1558979427 | Luis Hiram Zayas Martinez | Social Worker | Calle 8 #373 Ext San Agustin, San Juan, PR 00926 | 2020-07-16 |
| Find all providers in zip 00926 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811069768 | Recinto De Ciencias Medicas | Family Medicine | Ave Americo Miranda, Centro Medico De Pr Edif Principal Escuela De Medicin, San Juan, PR 00929-0134 | 2006-11-15 |
Please comment or provide details below to improve the information on WAGNER GERVAIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.