| Frc Gastro Llc | |
|
Edificio Dr. Arturo Cadilla Vinas Suite 210 Bayamon PR 00961 | |
| (787) 238-1575 | |
| Not Available |
| Full Name | Frc Gastro Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Edificio Dr. Arturo Cadilla Vinas Suite 210, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Fabiola Rios De Choudens (OWNER/CEO) |
| Authorized Official Contact | 7872388628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frc Gastro Llc Riviera Village 80 Calle Queens Bayamon PR 00959 Ph: () - | Frc Gastro Llc Edificio Dr. Arturo Cadilla Vinas Suite 210 Bayamon PR 00961 Ph: (787) 238-1575 |
| NPI Number | 1386368702 |
|---|---|
| Provider Enumeration Date | 09/29/2022 |
| Last Update Date | 09/29/2022 |
| Medicare PECOS PAC ID | 3173992070 |
|---|---|
| Medicare Enrollment ID | O20221216000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386368702 | NPI | - | NPPES |
| 1124412010 | Other | PROVIDER NPI | |
| NX689 | Other | MEDICARE PTAN |
| Provider Name | Fabiola Rios De Choudens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124412010 PECOS PAC ID: 7810396215 Enrollment ID: I20210603003077 |
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