WAGNER GERVAIS – NPI #1518596295
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

WAGNER GERVAIS is a physician located in SAN JUAN, PR. NPPES has assigned the NPI number 1518596295 to WAGNER GERVAIS on April 05, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WAGNER GERVAIS below.

NPI Profile for
WAGNER GERVAIS

NPI Number
1518596295
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WAGNER GERVAIS
Primary location
151 CALLE LAS LOMAS
SAN JUAN, PR 00926-5527
Phone: (956) 578-6712 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Apr 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)
PR 258-PA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.