Provider Demographics
NPI:1104482819
Name:AMBERT GUILBE, MAGALY
Entity type:Individual
Prefix:
First Name:MAGALY
Middle Name:
Last Name:AMBERT GUILBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 CALLE GARITA
Mailing Address - Street 2:URB BALDORIOTY
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:787-310-8779
Mailing Address - Fax:
Practice Address - Street 1:8169 CALLE CONCORDIA EDIFICIO SAN VICENTE SUITE 412
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-284-5884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-17
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist