HERMAN GABRIEL GAZTAMBIDE-RODRIGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

HERMAN

Middle

GABRIEL

Last Name

GAZTAMBIDE-RODRIGUEZ

Business Name

HERMAN GABRIEL GAZTAMBIDE-RODRIGUEZ MD

Original Issue Date

06/20/2023

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

BAYAMON

State

Zip

00961

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023