| Zom Professional Gastroenterology, Psc | |
|
Calle Turquesa, #28 Senderos De Montehiedra San Juan PR 00926 | |
| (787) 963-0550 | |
| (787) 963-0550 |
| Full Name | Zom Professional Gastroenterology, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | Calle Turquesa, #28, San Juan, Puerto Rico |
| Authorized Official Name and Position | Zhamarie Ortiz Mercado (MEDICO) |
| Authorized Official Contact | 7873186197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zom Professional Gastroenterology, Psc Po Box 364584 San Juan PR 00936-4584 Ph: (787) 318-6197 | Zom Professional Gastroenterology, Psc Calle Turquesa, #28 Senderos De Montehiedra San Juan PR 00926 Ph: (787) 963-0550 |
| NPI Number | 1144530916 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 12/09/2013 |
| Medicare PECOS PAC ID | 0446445290 |
|---|---|
| Medicare Enrollment ID | O20101108000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144530916 | NPI | - | NPPES |
| 15,931 | Other | PR | LICENCIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 15,931 (Puerto Rico) | Primary |
| Provider Name | Zhamarie Ortiz Mercado |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841391927 PECOS PAC ID: 7618978875 Enrollment ID: I20101108000036 |
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