Basic Information
Provider Information
NPI: 1023072444
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIUSTI
FirstName: ALBA
MiddleName: YAZMET
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: A36 CALLE 4
Address2: URB ESTANCIAS DE SAN FERNANDO
City: CAROLINA
State: PR
PostalCode: 009855208
CountryCode: US
TelephoneNumber: 7872760869
FaxNumber:  
Practice Location
Address1: BO. MONACILLO CARR.22
Address2: PASEO DR. JOSE CELSO BARBOSA
City: SAN JUAN
State: PR
PostalCode: 009350001
CountryCode: US
TelephoneNumber: 7877773803
FaxNumber: 7877773702
Other Information
ProviderEnumerationDate: 04/13/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X8659PRY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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