| Puerto Rico Gastroenterology Llc | |
|
200 Calle Hernandez Carrion, Suite 512 Mmc Professional Plaza Manati PR 00674-0067 | |
| (787) 621-2633 | |
| Not Available |
| Full Name | Puerto Rico Gastroenterology Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Calle Hernandez Carrion, Suite 512, Manati, Puerto Rico |
| Authorized Official Name and Position | Fray Arroyo-mercado (CO-OWNER) |
| Authorized Official Contact | 7876212633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Puerto Rico Gastroenterology Llc Mmc Professional Plaza 200 Calle Hernandez Carrion, Suite 512 Manati PR 00674 Ph: (787) 621-2633 | Puerto Rico Gastroenterology Llc 200 Calle Hernandez Carrion, Suite 512 Mmc Professional Plaza Manati PR 00674-0067 Ph: (787) 621-2633 |
| NPI Number | 1679279764 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 9335505205 |
|---|---|
| Medicare Enrollment ID | O20230518001996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679279764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Fray Martin Arroyo Mercado |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114471489 PECOS PAC ID: 1850634775 Enrollment ID: I20230518002139 |
| Provider Name | Nelson Valentin Feliciano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033565015 PECOS PAC ID: 4385980911 Enrollment ID: I20230608002900 |
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