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WAGNER GERVAIS
NPI 1518596295
Family Medicine - Adolescent Medicine in San Juan, PR

Active since April 05, 2020
151 CALLE LAS LOMAS, SAN JUAN, PR 00926(956) 578-6712 Get Directions Write a Review

NPPES record last updated: April 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wagner Gervais NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAGNER GERVAIS (NPI 1518596295) is an individual adolescent medicine provider in San Juan, Puerto Rico, licensed in Puerto Rico (258-PA) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1518596295
Entity TypeIndividualMale
Primary Taxonomy207QA0000X
Provider Legal NameWAGNER GERVAIS
Location Address151 CALLE LAS LOMASSan Juan, PR 00926-5527
Mailing Address151 Calle Las LomasSan Juan, PR 00926-5527
Phone(956) 578-6712
Sole ProprietorYes
Enumeration DateApril 5, 2020
NPPES CertifiedApril 5, 2020
✔ NPI 1518596295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0000X
License✔ Licensed in PR · 258-PA
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wagner Gervais's NPI number?

The NPI number for Wagner Gervais is 1518596295. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Wagner Gervais located?

Wagner Gervais practices at 151 Calle Las Lomas, San Juan, PR 00926. The listed phone number is (956) 578-6712.

What is Wagner Gervais's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

When was this NPI record last updated?

The NPPES record for Wagner Gervais was last updated on April 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.