| Sv Gastroenterology Llc | |
|
874 Fernandez Juncos Avenue Edificio Jesus T Pineiro Carolina PR 00979-0001 | |
| (787) 626-3322 | |
| (787) 626-0472 |
| Full Name | Sv Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 874 Fernandez Juncos Avenue, Carolina, Puerto Rico |
| Authorized Official Name and Position | Stephanie Janice Velazquez (SOLE OWNER) |
| Authorized Official Contact | 7874750388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sv Gastroenterology Llc Urb. Olympic Court 153-a4 Calle Antioquia Las Piedras PR 00771-0001 Ph: (787) 475-0388 | Sv Gastroenterology Llc 874 Fernandez Juncos Avenue Edificio Jesus T Pineiro Carolina PR 00979-0001 Ph: (787) 626-3322 |
| NPI Number | 1811618077 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 09/07/2022 |
| Medicare PECOS PAC ID | 9133596430 |
|---|---|
| Medicare Enrollment ID | O20221028002248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811618077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Stephanie Velazquez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306227228 PECOS PAC ID: 0042687345 Enrollment ID: I20221028002268 |
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