Provider Demographics
NPI:1962871434
Name:GUNALDA, JOHN (CSFA)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:GUNALDA
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BONNELL DR APT A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-1230
Mailing Address - Country:US
Mailing Address - Phone:210-218-7921
Mailing Address - Fax:
Practice Address - Street 1:120 BONNELL DR APT A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-1230
Practice Address - Country:US
Practice Address - Phone:210-218-7921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant