Active NPIOrganization

Grupo San Mateo, LLC

Internal Medicine, Gastroenterology in San Juan, Puerto Rico

NPI Number1295293991
Practice location
1607 Ave Ponce De Leon Ste Gm04, San Juan, PR 00909-1803
Fax
888-588-0319
Last updated
March 15, 2023

Grupo San Mateo, LLC is a healthcare organization based in San Juan, PR. Grupo San Mateo, LLC practices in San Juan, PR. The NPI Number for Grupo San Mateo, LLC is 1295293991. The current practice location address for Grupo San Mateo, LLC is 1607 Ave Ponce De Leon Ste Gm04, San Juan, PR 00909-1803 and can be reached out via phone at 787-910-0909 and via fax at 888-588-0319.

Provider Profile Details

NPI Number
1295293991
Provider Name
Grupo San Mateo, LLC
Provider Entity Type
Organization
Address
1607 Ave Ponce De Leon Ste Gm04, San Juan, PR 00909-1803
Phone Number
787-910-0909
Fax Number
888-588-0319
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Dr. Vasco Eguia, MD · President Owner · 787-633-5263
Provider Enumeration Date
March 12, 2019
Last Update Date
March 15, 2023
Certification Date
March 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1607 Ave Ponce De Leon Ste Gm04
San Juan, PR 00909-1803
Zip
00909-1803
Phone Number
787-910-0909
Fax Number
888-588-0319
San Juan, PR 00909Get directions →

Provider Business Mailing Address Details

Address
1353 Ave Luis Vigoreaux Pmb 757
Guaynabo, PR 00966-2715
City
Guaynabo
State
PR
Zip
00966-2715
Phone Number
787-633-5263
Fax Number
888-588-0319

License Information

Taxonomy (1)
Nutritionist · 133N00000X
Taxonomy (2)
Dietitian, Registered · 133V00000X
Taxonomy (3)
Family Medicine · 207Q00000X
Taxonomy (4)
Internal Medicine · 207R00000X
Taxonomy (5)
Pediatrics, Pediatric Gastroenterology · 2080P0206X
Taxonomy (6)
General Practice · 208D00000X
Taxonomy (7)
Speech-Language Pathologist, · 235Z00000X
Taxonomy (8)
Clinic/Center, Infusion Therapy · 261QI0500X
Taxonomy (9)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Grupo San Mateo, LLC?

The NPI number of Grupo San Mateo, LLC is 1295293991. It was assigned on March 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Grupo San Mateo, LLC?

Grupo San Mateo, LLC is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X).

Where does Grupo San Mateo, LLC practice?

The practice location is 1607 Ave Ponce De Leon Ste Gm04, San Juan, PR 00909-1803. The office can be reached at 787-910-0909 (phone) or 888-588-0319 (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 1295293991 directly on the NPPES registry website.

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