Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35129193 | OH |
N | 207VG0400X | Gynecologist | TRN16702 | FL |
NPI | 1205194271 |
---|---|
Provider Name | Jorge Armando Garibay |
First Address | Cleveland, OH 44109-1900 |
Second Address | Superior, CO 80027-8656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2012 |
Last Update Date | 29/03/2021 |