| Ym Gastro Llc | |
|
735 Ave Ponce De Leon Torre Medica Auxilio Mutuo 707 San Juan PR 00917-5022 | |
| (787) 756-5900 | |
| Not Available |
| Full Name | Ym Gastro Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 735 Ave Ponce De Leon, San Juan, Puerto Rico |
| Authorized Official Name and Position | Yahaira Moreno Denizard (PRESIDENT) |
| Authorized Official Contact | 7874523122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ym Gastro Llc 735 Ave Ponce De Leon Torre Medica Auxilio Mutuo 707 San Juan PR 00917-5022 Ph: (787) 756-5900 | Ym Gastro Llc 735 Ave Ponce De Leon Torre Medica Auxilio Mutuo 707 San Juan PR 00917-5022 Ph: (787) 756-5900 |
| NPI Number | 1366821126 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/27/2015 |
| Medicare PECOS PAC ID | 8022327980 |
|---|---|
| Medicare Enrollment ID | O20151016001011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366821126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 17524 (Puerto Rico) | Primary |
| Provider Name | Yahaira Moreno Denizard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982898490 PECOS PAC ID: 4880842756 Enrollment ID: I20120918000745 |
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