| Advanced Gi Solutions LLC | |
|
Metropolitan Office Building Bo Pueblo Calle Jose De Di Arecibo PR 00612 | |
| (787) 312-4640 | |
| (787) 881-5742 |
| Full Name | Advanced Gi Solutions LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | Metropolitan Office Building Bo Pueblo Calle Jose De Di, Arecibo, Puerto Rico |
| Authorized Official Name and Position | Nancy Quiles (ADMINSTRADORA) |
| Authorized Official Contact | 7872140751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gi Solutions LLC Po Box 506 Dorado PR 00646-0506 Ph: (787) 312-4640 | Advanced Gi Solutions LLC Metropolitan Office Building Bo Pueblo Calle Jose De Di Arecibo PR 00612 Ph: (787) 312-4640 |
| NPI Number | 1982203980 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 12/02/2020 |
| Certification Date | 12/02/2020 |
| Medicare PECOS PAC ID | 6002229259 |
|---|---|
| Medicare Enrollment ID | O20210408000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982203980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Carlos O Laboy Olivieri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407080856 PECOS PAC ID: 1052624723 Enrollment ID: I20150723009389 |
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