| Advanced Gastroenterology, Psc | |
|
68 Calle Santa Cruz Torre San Pablo Suite 803b Bayamon PR 00961-7031 | |
| (787) 288-6998 | |
| Not Available |
| Full Name | Advanced Gastroenterology, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 68 Calle Santa Cruz, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Ramon M Rullan (PRESIDENT) |
| Authorized Official Contact | 7872886998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastroenterology, Psc 68 Calle Santa Cruz Torre San Pablo Suite 803b Bayamon PR 00961-7031 Ph: (787) 288-6998 | Advanced Gastroenterology, Psc 68 Calle Santa Cruz Torre San Pablo Suite 803b Bayamon PR 00961-7031 Ph: (787) 288-6998 |
| NPI Number | 1164720975 |
|---|---|
| Provider Enumeration Date | 03/02/2011 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 8527245943 |
|---|---|
| Medicare Enrollment ID | O20110610000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164720975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Secondary |
| Provider Name | Ramon Rullan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417930488 PECOS PAC ID: 2062448921 Enrollment ID: I20071030000554 |
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