| Gold Star Medical Llc | |
|
#2 Munoz Rivera Bo. Pueblo Hormigueros PR 00660 | |
| (787) 673-1238 | |
| Not Available |
| Full Name | Gold Star Medical Llc |
|---|---|
| Speciality | Clinic/center |
| Location | #2 Munoz Rivera, Hormigueros, Puerto Rico |
| Authorized Official Name and Position | Shahid M Chaudhary-mian (PRESIDENT) |
| Authorized Official Contact | 7876731238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Star Medical Llc #184 Calle Valencia Urb. La Salamanca San German PR 00683 Ph: (787) 673-1238 | Gold Star Medical Llc #2 Munoz Rivera Bo. Pueblo Hormigueros PR 00660 Ph: (787) 673-1238 |
| NPI Number | 1073289005 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073289005 | NPI | - | NPPES |
| 371248 | Other | PR | REGISTER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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