G3a Gastroenterology Llc | |
150 Ave Americo Miranda Bo Monacillos Hospital Oncologico San Juan PR 00935 | |
(787) 413-9923 | |
Not Available |
Full Name | G3a Gastroenterology Llc |
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Speciality | Internal Medicine |
Location | 150 Ave Americo Miranda Bo Monacillos, San Juan, Puerto Rico |
Authorized Official Name and Position | Artemio Santiago Molina (PRESIDENT / OWNER) |
Authorized Official Contact | 7876070699 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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G3a Gastroenterology Llc Po Box 360889 San Juan PR 00936-0889 Ph: () - | G3a Gastroenterology Llc 150 Ave Americo Miranda Bo Monacillos Hospital Oncologico San Juan PR 00935 Ph: (787) 413-9923 |
NPI Number | 1184321200 |
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Provider Enumeration Date | 02/09/2023 |
Last Update Date | 02/09/2023 |
Medicare PECOS PAC ID | 7416314547 |
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Medicare Enrollment ID | O20230606001060 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184321200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Artemio Santiago-molina |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1770928046 PECOS PAC ID: 9931441748 Enrollment ID: I20190426001390 |
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