| Grupo Gastroenterologico Del Este P S C | |
|
101 Calle Padre Rivera Humacao PR 00791-3451 | |
| (787) 285-4387 | |
| (787) 285-1634 |
| Full Name | Grupo Gastroenterologico Del Este P S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Calle Padre Rivera, Humacao, Puerto Rico |
| Authorized Official Name and Position | Ruth A Rodriguez (ADMINISTRATOR) |
| Authorized Official Contact | 7872854387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grupo Gastroenterologico Del Este P S C Box 9111 Humacao PR 00792 Ph: (787) 285-4387 | Grupo Gastroenterologico Del Este P S C 101 Calle Padre Rivera Humacao PR 00791-3451 Ph: (787) 285-4387 |
| NPI Number | 1235299306 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 09/16/2010 |
| Medicare PECOS PAC ID | 1355467523 |
|---|---|
| Medicare Enrollment ID | O20100924000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235299306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Rafael A Mosquera Fernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588700173 PECOS PAC ID: 6406972678 Enrollment ID: I20100924000652 |
| Provider Name | Jose A Rios Collazo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700954666 PECOS PAC ID: 1951427129 Enrollment ID: I20100924000682 |
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