Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WAGNER GERVAIS
Active Sole ProprietorWAGNER GERVAIS is a Addiction Medicine healthcare provider located in SAN JUAN, Puerto Rico. NPI 1518596295 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine · SAN JUAN, PR
Registration Details
- NPI Number
- 1518596295
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2020 (6.369745100025 yrs)
- Last Updated
- Apr 5, 2020
- License
-
258-PA (PR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
151 CALLE LAS LOMASSAN JUAN, PR, 009265527Browse PR providers · Browse ZIP 00926
- Phone
- 9565786712
- Primary Specialty
-
Addiction Medicine
207QA0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.