| Rey Gavino Md Pc | |
|
801 Goodyear Ave Gadsden AL 35903-1133 | |
| (256) 452-2718 | |
| Not Available |
| Full Name | Rey Gavino Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 801 Goodyear Ave, Gadsden, Alabama |
| Authorized Official Name and Position | Rey Gavino (PRESIDENT) |
| Authorized Official Contact | 2564522718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rey Gavino Md Pc 1455 Heritage Ln Ne Jacksonville AL 36265-1448 Ph: (256) 452-2718 | Rey Gavino Md Pc 801 Goodyear Ave Gadsden AL 35903-1133 Ph: (256) 452-2718 |
| NPI Number | 1255959086 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/26/2023 |
| Medicare PECOS PAC ID | 1759708175 |
|---|---|
| Medicare Enrollment ID | O20200831003322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255959086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rey S Gavino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659457794 PECOS PAC ID: 1052360708 Enrollment ID: I20051025000537 |
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