Innovative Gastroenterology, Psc
Internal Medicine, Gastroenterology in Rio Grande, Puerto Rico
1124315809- Practice location
- A1 Ave Agustin Perez Andino, Villas De Rio Grande, Rio Grande, PR 00745-3000
- Phone
- 787-657-8543
- Fax
- 787-657-8807
- Last updated
- July 1, 2011
Innovative Gastroenterology, Psc is a healthcare organization based in Rio Grande, PR. Innovative Gastroenterology, Psc practices in Rio Grande, PR. The NPI Number for Innovative Gastroenterology, Psc is 1124315809 and holds a License No. 15354 (PR). The current practice location address for Innovative Gastroenterology, Psc is A1 Ave Agustin Perez Andino, Villas De Rio Grande, Rio Grande, PR 00745-3000 and can be reached out via phone at 787-657-8543 and via fax at 787-657-8807.
Provider Profile Details
- NPI Number
- 1124315809
- Provider Name
- Innovative Gastroenterology, Psc
- Provider Entity Type
- Organization
- Address
- A1 Ave Agustin Perez Andino, Villas De Rio Grande, Rio Grande, PR 00745-3000
- Phone Number
- 787-657-8543
- Fax Number
- 787-657-8807
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Organization Subpart
- No
- Authorized Official
- Dr. Roberto Enrique Mera-Lastra, MD · President · 787-657-8543
- Provider Enumeration Date
- July 1, 2011
- Last Update Date
- July 1, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- A1 Ave Agustin Perez Andino
Villas De Rio Grande
Rio Grande, PR 00745-3000 - City
- Rio Grande
- State
- Puerto Rico
- Zip
- 00745-3000
- Phone Number
- 787-657-8543
- Fax Number
- 787-657-8807
Provider Business Mailing Address Details
- Address
- Po Box 3017
Rio Grande, PR 00745-3017 - City
- Rio Grande
- State
- PR
- Zip
- 00745-3017
- Phone Number
- 787-657-8543
- Fax Number
- 787-657-8807
License Information
- License Number
- 15354
- License State
- PR
- Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Innovative Gastroenterology, Psc?
The NPI number of Innovative Gastroenterology, Psc is 1124315809. It was assigned on July 1, 2011 and is currently active in the NPPES registry.
What is the specialty of Innovative Gastroenterology, Psc?
Innovative Gastroenterology, Psc is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in PR under license number 15354.
Where does Innovative Gastroenterology, Psc practice?
The practice location is A1 Ave Agustin Perez Andino, Villas De Rio Grande, Rio Grande, PR 00745-3000. The office can be reached at 787-657-8543 (phone) or 787-657-8807 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124315809 directly on the NPPES registry website.