| Gastro Class Llc | |
|
239 Arterial Hostos Ave Ste 305 San Juan PR 00918-1476 | |
| (939) 236-3239 | |
| (939) 236-3239 |
| Full Name | Gastro Class Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 239 Arterial Hostos Ave Ste 305, San Juan, Puerto Rico |
| Authorized Official Name and Position | Walisbeth Class (OWNER) |
| Authorized Official Contact | 7874047820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro Class Llc D14 Calle Parkside 6 Apt 906 Guaynabo PR 00968-3338 Ph: (787) 404-7820 | Gastro Class Llc 239 Arterial Hostos Ave Ste 305 San Juan PR 00918-1476 Ph: (939) 236-3239 |
| NPI Number | 1598416067 |
|---|---|
| Provider Enumeration Date | 01/15/2022 |
| Last Update Date | 06/13/2023 |
| Medicare PECOS PAC ID | 7618358003 |
|---|---|
| Medicare Enrollment ID | O20220716000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598416067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Walisbeth Class-vazquez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518302652 PECOS PAC ID: 2062746928 Enrollment ID: I20200514002587 |
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