| Vr Gastro Psc | |
|
Paseo San Pablo #100 Edif. Arturo Cadilla Suite 501 Bayamon PR 00961 | |
| (787) 780-4297 | |
| (787) 798-3110 |
| Full Name | Vr Gastro Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | Paseo San Pablo #100, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Roberto E Osorio Manotas (PRESIDENT) |
| Authorized Official Contact | 7877804297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vr Gastro Psc Ciudad Jardin 443 Paseo Dorado Canovanas PR 00729 Ph: (787) 780-4297 | Vr Gastro Psc Paseo San Pablo #100 Edif. Arturo Cadilla Suite 501 Bayamon PR 00961 Ph: (787) 780-4297 |
| NPI Number | 1760030449 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Medicare PECOS PAC ID | 1658784202 |
|---|---|
| Medicare Enrollment ID | O20201229000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760030449 | NPI | - | NPPES |
| 020939 | Other | PR | LICENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Roberto E Osorio Manotas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215123161 PECOS PAC ID: 2264728401 Enrollment ID: I20170413002508 |
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