| Instituto Digestivo De Puerto Rico, P.s.c. | |
|
Consolidated Mall Suite C-18 Caguas PR 00725 | |
| (787) 747-2530 | |
| (787) 744-6392 |
| Full Name | Instituto Digestivo De Puerto Rico, P.s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | Consolidated Mall, Caguas, Puerto Rico |
| Authorized Official Name and Position | Victor J Colon-vazquez (PRESIDENT) |
| Authorized Official Contact | 7877472530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Instituto Digestivo De Puerto Rico, P.s.c. Po Box 7947 Caguas PR 00726-7947 Ph: (787) 747-2530 | Instituto Digestivo De Puerto Rico, P.s.c. Consolidated Mall Suite C-18 Caguas PR 00725 Ph: (787) 747-2530 |
| NPI Number | 1548397573 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 04/16/2013 |
| Medicare PECOS PAC ID | 0547435448 |
|---|---|
| Medicare Enrollment ID | O20111205000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548397573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 13117 (Puerto Rico) | Primary |
| Provider Name | Victor Md Colon Vazquez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598768061 PECOS PAC ID: 8022283928 Enrollment ID: I20111205000345 |
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