| Pr Gi-liver Associates Psc | |
|
Cond San Jorge # 361 San Juan PR 00912-3302 | |
| (787) 765-6554 | |
| Not Available |
| Full Name | Pr Gi-liver Associates Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | Cond San Jorge # 361, San Juan, Puerto Rico |
| Authorized Official Name and Position | Rafael Pastrana (PRESIDENT) |
| Authorized Official Contact | 7879461863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pr Gi-liver Associates Psc Po Box 79662 Carolina PR 00984-9662 Ph: () - | Pr Gi-liver Associates Psc Cond San Jorge # 361 San Juan PR 00912-3302 Ph: (787) 765-6554 |
| NPI Number | 1144516436 |
|---|---|
| Provider Enumeration Date | 06/24/2011 |
| Last Update Date | 06/24/2011 |
| Medicare PECOS PAC ID | 0840457537 |
|---|---|
| Medicare Enrollment ID | O20120208000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144516436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 13776 (Puerto Rico) | Primary |
| Provider Name | Rafael J Pastrana Laborde |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073545257 PECOS PAC ID: 6709889538 Enrollment ID: I20070910000570 |
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