| Castro Gastroenterology Medical Services, Llc | |
|
Ave General Valero # 303 Edificio Medico Del Este Suite 204 Fajardo PR 00738-3949 | |
| (787) 642-7247 | |
| (787) 860-6300 |
| Full Name | Castro Gastroenterology Medical Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Ave General Valero # 303, Fajardo, Puerto Rico |
| Authorized Official Name and Position | Esteban Castro Diaz (PRESIDENT) |
| Authorized Official Contact | 7877207628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Castro Gastroenterology Medical Services, Llc Po Box 8820 Carolina PR 00988-8820 Ph: (787) 720-7628 | Castro Gastroenterology Medical Services, Llc Ave General Valero # 303 Edificio Medico Del Este Suite 204 Fajardo PR 00738-3949 Ph: (787) 642-7247 |
| NPI Number | 1528487949 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 04/14/2014 |
| Medicare PECOS PAC ID | 2860615291 |
|---|---|
| Medicare Enrollment ID | O20140603001424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528487949 | NPI | - | NPPES |
| 1407920580 | Other | PR | INDIVIDUAL PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 8507 (Puerto Rico) | Primary |
| Provider Name | Esteban Castro-diaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407920580 PECOS PAC ID: 4587859400 Enrollment ID: I20101117000395 |
Mv Healthcare Csp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98 Calle Garrido Morales E, Fajardo, PR 00738 Phone: 787-860-5140 Fax: 787-860-5140 | |
Geriatria Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Ave General Valero, Fajardo, PR 00738 Phone: 787-655-0505 | |
Fajardo Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: I23 Calle Principal, Urb Baralt, Fajardo, PR 00738 Phone: 787-863-7646 Fax: 787-860-7357 | |
Cim Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Ave. Conquistador A45, Monte Brisas, Fajardo, PR 00738 Phone: 787-860-1166 Fax: 787-860-1166 | |
Jv Medical & Health Care Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Ave General Valero, Fajardo, PR 00738 Phone: 787-585-3997 | |
Cepa Fajardo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Ave General Valero, Fajardo, PR 00738 Phone: 787-720-1000 Fax: 787-653-3535 | |
Servicios Medicos Integrados De Fajardo, P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Principal I-23, Urb. Baralt, Fajardo, PR 00738 Phone: 787-863-7646 Fax: 787-860-7357 |