Provider Demographics
NPI:1104543487
Name:GUOMET-AV INC
Entity type:Organization
Organization Name:GUOMET-AV INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELBA
Authorized Official - Middle Name:H
Authorized Official - Last Name:ALGARIN
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICO
Authorized Official - Phone:787-852-2470
Mailing Address - Street 1:CORREO VILLA AA-2
Mailing Address - Street 2:AVE. TEJAS PMB 216
Mailing Address - City:HUMACO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-852-2470
Mailing Address - Fax:787-285-4165
Practice Address - Street 1:69 CALLE JESUS T PINERO
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-852-2470
Practice Address - Fax:787-285-4165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty