IndividualActive
Diego Gallardo
NPI 1003104464 · Oral and Maxillofacial Surgery (Dentist) · Guaynabo, PR
Provider details
- NPI number
- 1003104464
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0401415980 (VA)
Practice location
Suite 201, Guaynabo Radiology & Medical Plaza
10 Ave Las Cumbres
Guaynabo, PR 00969
Phone: (787) 233-7267
Mailing address
D2 Calle 2 Alt. De Sans Souci
Bayamon, PR 00957
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2021-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.