Complete Neuro GNM, PSC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

016343 Issued in PR

Legal business name

COMPLETE NEURO GNM, PSC

Practice address

Manati Medical Center
Suite 201
Manati, PR 00674

Phone

(787) 621-3737

Fax

(787) 621-3251

NPI assigned

Feb 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gian Carlo Gierbolini, MDNPI 1518935964

Title

Owner

Phone

(787) 621-3737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gian Carlo Gierbolini, M.D.

  • Neurology Physician
  • Manati, PR
  • NPI 1518935964

  Neurology, PR

  Medicare reassignment NPD Authorized official
• Jorge J Lastra, M.D.

  • Neurological Surgery Physician
  • Manati, PR
  • NPI 1952467490
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700925302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 125",
            "address_2": "19.22 AVENIDA RAMIREZ DE ARELLANO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-621-3737",
            "fax_number": "787-621-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL CENTER",
            "address_2": "SUITE 201",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3737",
            "fax_number": "787-621-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE NEURO GNM, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIERBOLINI",
        "authorized_official_first_name": "GIAN",
        "authorized_official_middle_name": "CARLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-621-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "016343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Arturo Colon - Guzman, MD
• Shirley Ann Colon Martinez, MSW
• Jose M. Colon-Vaquer, M.D.
• Griseida Vazquez Colon, M.D.
• Luis Manuel Colon, DC
• Jennifer Concepcion Cardona, PHARM D
• Grisel Rodriguez Conde, MSW
• Consultorio Medico Clinico Dr Gomez Adrover PSC
• Saul Cordero-Calero, M.D.
• Jose Cordero, M.D.

• All providers in Manati, PR
• Neurology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.