Provider Demographics
NPI:1578388641
Name:GIL, ADALBERTO
Entity type:Individual
Prefix:
First Name:ADALBERTO
Middle Name:
Last Name:GIL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ADALBERTO
Other - Middle Name:
Other - Last Name:GIL-SANTAMARIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RT(R), (CT) ARRT
Mailing Address - Street 1:521 HUNTERS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28716-2801
Mailing Address - Country:US
Mailing Address - Phone:828-442-8567
Mailing Address - Fax:
Practice Address - Street 1:521 HUNTERS RIDGE RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NC
Practice Address - Zip Code:28716-2801
Practice Address - Country:US
Practice Address - Phone:828-442-8567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed Tomography