Individual provider · Type 1 NPI
Wagner Gervais
Adolescent Medicine (Family Medicine) Physician · San Juan, PR
NPI number
1518596295
Active
Practice location
151 Calle Las Lomas
San Juan, PR 00926-5527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician Primary | 207QA0000X | 258-PA (PR) |
Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
About NPI 1518596295
Wagner Gervais's National Provider Identifier is 1518596295, issued on Apr 5, 2020. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in San Juan, PR. The record was last updated on Apr 5, 2020.