| Gastro-hepatology Institute Of Puerto Rico Llc | |
|
Calle Peral #14 Edificio La Palma Suite 1c Mayaguez PR 00680-0000 | |
| (787) 265-8152 | |
| Not Available |
| Full Name | Gastro-hepatology Institute Of Puerto Rico Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Calle Peral #14 Edificio La Palma, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Hendrick Pagan Torres (PRESIDENTE) |
| Authorized Official Contact | 7878340101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro-hepatology Institute Of Puerto Rico Llc 1507 Paseomonte 381 Ave Felisa Ricon De Gautier San Juan PR 00926-6665 Ph: (787) 265-8152 | Gastro-hepatology Institute Of Puerto Rico Llc Calle Peral #14 Edificio La Palma Suite 1c Mayaguez PR 00680-0000 Ph: (787) 265-8152 |
| NPI Number | 1871270918 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 05/01/2024 |
| Medicare PECOS PAC ID | 3971967498 |
|---|---|
| Medicare Enrollment ID | O20230915001626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871270918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207RT0003X | Internal Medicine - Transplant Hepatology | (* (Not Available)) | Secondary |
| Provider Name | Hendrick Pagan-torres |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265896732 PECOS PAC ID: 4587024260 Enrollment ID: I20230712004026 |
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