Active NPI
Antonio Jose Gallardo, MEDICAL DOCTOR
- Ambulatory Family Planning Facility
- Bayamon, PR
National Provider Identifier
1174654040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Family Planning Facility
- License
- 6693
- Practice address
- Calle 22 Bloque 51
#63 Santa Rosa
Bayamon, PR 00959 - Phone
- (787) 780-4346
- Fax
- (787) 780-4576
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Family Planning Facility | 261QA0005X | 6693 | PR | Primary |
Addresses
Primary practice location
Calle 22 Bloque 51
#63 Santa Rosa
Bayamon, PR 00959
Mailing address
Street 22 Block 51
#63 Santa Rosa
Bayamon, PR 00959
Phone (787) 780-4346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6693 | Other | PR | STATE LINCENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6693 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174654040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STREET 22 BLOCK 51",
"address_2": "#63 SANTA ROSA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-780-4346",
"fax_number": "787-780-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 22 BLOQUE 51",
"address_2": "#63 SANTA ROSA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-780-4346",
"fax_number": "787-780-4576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLARDO",
"first_name": "ANTONIO",
"middle_name": "JOSE",
"credential": "MEDICAL DOCTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QA0005X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Family Planning Facility",
"state": "PR",
"license": "6693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LINCENSE",
"identifier": "6693",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.