| Innovative Gastroenterology, Psc | |
|
A1 Ave Agustin Perez Andino Villas De Rio Grande Rio Grande PR 00745-3000 | |
| (787) 657-8543 | |
| (787) 657-8807 |
| Full Name | Innovative Gastroenterology, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | A1 Ave Agustin Perez Andino, Rio Grande, Puerto Rico |
| Authorized Official Name and Position | Roberto Enrique Mera-lastra (PRESIDENT) |
| Authorized Official Contact | 7876578543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Gastroenterology, Psc Po Box 3017 Rio Grande PR 00745-3017 Ph: (787) 657-8543 | Innovative Gastroenterology, Psc A1 Ave Agustin Perez Andino Villas De Rio Grande Rio Grande PR 00745-3000 Ph: (787) 657-8543 |
| NPI Number | 1124315809 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 07/01/2011 |
| Medicare PECOS PAC ID | 3476774498 |
|---|---|
| Medicare Enrollment ID | O20141016000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124315809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 15354 (Puerto Rico) | Primary |
| Provider Name | Roberto E Mera-lastra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407812381 PECOS PAC ID: 4486678059 Enrollment ID: I20060123000179 |
Opti Citi Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4a Carlos Felipe Garcia De La Noceda, Rio Grande, PR 00745 Phone: 787-810-0505 | |
Centro De Medicina Avanzada De Rio Grande Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Urb Villas De Rio Grande, C1 Ave Agustin Perez Andino, Rio Grande, PR 00745 Phone: 787-888-7722 | |
Policlinica Dr Rivera Toro, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Agustin Perez A-1, Rio Grande, PR 00745 Phone: 787-887-3520 | |
Centro De Especialistas Cuidad Del Yunque Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Villas De Rio Grande, Calle Garcia De La Noceda B 23, Rio Grande, PR 00745 Phone: 787-888-5406 Fax: 787-888-5406 | |
Caparra Internal Medicine Service Group Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 390 Calle Gardenia, La Ponderosa, Rio Grande, PR 00745 Phone: 787-809-4025 Fax: 787-809-3424 | |
Centro De Medicina Familiar Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: A4 Calle Garcia De La Noc, Rio Grande, PR 00745 Phone: 787-888-0576 Fax: 939-221-2393 |