| Centro Gastro-endoscopico De La Montana Corp | |
|
Carr 159 # Km27.4 Corozal Shopping Village Corozal PR 00783-2903 | |
| (787) 802-1400 | |
| (787) 802-1200 |
| Full Name | Centro Gastro-endoscopico De La Montana Corp |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | Carr 159 # Km27.4, Corozal, Puerto Rico |
| Authorized Official Name and Position | Eladio Perez Cruz (PRESIDENT) |
| Authorized Official Contact | 7878021400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Gastro-endoscopico De La Montana Corp Po Box 19006 San Juan PR 00910 Ph: (787) 802-1400 | Centro Gastro-endoscopico De La Montana Corp Carr 159 # Km27.4 Corozal Shopping Village Corozal PR 00783-2903 Ph: (787) 802-1400 |
| NPI Number | 1447799358 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447799358 | NPI | - | NPPES |
| 390127 | Other | PR | CERTIFICATE OF REGISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 8686 (Puerto Rico) | Primary |
Salud Integral En La Montana, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 891, Corozal, PR 00783 Phone: 787-859-2560 Fax: 787-859-5390 | |
Jbh Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Calle Gandara, Corozal, PR 00783 Phone: 787-215-6793 | |
Salud Integral En La Montana, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr 891, Corozal, PR 00783 Phone: 787-859-2560 Fax: 787-859-5390 | |
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