Gastro Sur Psc | |
Porto Fino Plaza Carr #3 Km 158.7 Salinas PR 00751 | |
(787) 239-7850 | |
(866) 325-4826 |
Full Name | Gastro Sur Psc |
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Speciality | Internal Medicine |
Location | Porto Fino Plaza Carr #3 Km 158.7, Salinas, Puerto Rico |
Authorized Official Name and Position | Amarilys Santiago Rolon (PRESIDENT) |
Authorized Official Contact | 7875377991 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gastro Sur Psc Po Box 827 Juana Diaz PR 00795-0827 Ph: (787) 239-7850 | Gastro Sur Psc Porto Fino Plaza Carr #3 Km 158.7 Salinas PR 00751 Ph: (787) 239-7850 |
NPI Number | 1124575444 |
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Provider Enumeration Date | 09/02/2016 |
Last Update Date | 06/14/2023 |
Medicare PECOS PAC ID | 1254749906 |
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Medicare Enrollment ID | O20210416001265 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124575444 | NPI | - | NPPES |
18073 | Other | PR | LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 18073 (Puerto Rico) | Primary |
Provider Name | Amarilys Santiago Rolon |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1548415177 PECOS PAC ID: 1951529098 Enrollment ID: I20140902001562 |
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Jorlis Medical Service Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16 Calle Rafael Ocasio, Salinas, PR 00751 Phone: 787-824-1934 | |
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