Active NPIOrganization

Southeast Gastroenterology Psc

Internal Medicine, Gastroenterology in Guayama, Puerto Rico

NPI Number1750758009
Practice location
222B Calle 4, Urb Vives, Guayama, PR 00784
Fax
787-866-4072
Last updated
July 30, 2026

Southeast Gastroenterology Psc is a healthcare organization based in Guayama, PR. Southeast Gastroenterology Psc practices in Guayama, PR. The NPI Number for Southeast Gastroenterology Psc is 1750758009 and holds a License No. 14017 (PR). The current practice location address for Southeast Gastroenterology Psc is 222B Calle 4, Urb Vives, Guayama, PR 00784 and can be reached out via phone at 787-866-4005 and via fax at 787-866-4072.

Provider Profile Details

NPI Number
1750758009
Provider Name
Southeast Gastroenterology Psc
Provider Entity Type
Organization
Address
222B Calle 4, Urb Vives, Guayama, PR 00784
Phone Number
787-866-4005
Fax Number
787-866-4072
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Dr. Joel Javier De Jesus, MD · President · 939-639-5839
Provider Enumeration Date
August 21, 2015
Last Update Date
July 30, 2026
Certification Date
July 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
222B Calle 4
Urb Vives
Guayama, PR 00784
Zip
00784
Phone Number
787-866-4005
Fax Number
787-866-4072
Guayama, PR 00784Get directions →

Provider Business Mailing Address Details

Address
Po Box 510
Guayama, PR 00785-0510
City
Guayama
State
PR
Zip
00785-0510
Phone Number
787-866-4005
Fax Number
787-866-4072

License Information

License Number
14017
License State
PR
Taxonomy
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 Southeast Gastroenterology Psc?

The NPI number of Southeast Gastroenterology Psc is 1750758009. It was assigned on August 21, 2015 and is currently active in the NPPES registry.

What is the specialty of Southeast Gastroenterology Psc?

Southeast Gastroenterology Psc is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in PR under license number 14017.

Where does Southeast Gastroenterology Psc practice?

The practice location is 222B Calle 4, Urb Vives, Guayama, PR 00784. The office can be reached at 787-866-4005 (phone) or 787-866-4072 (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 1750758009 directly on the NPPES registry website.

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