| Frb Gastroenterology LLC | |
|
1607 Ave. Ponce De Leon Ste Gm-04 Cobians Plaza San Juan PR 00909 | |
| (787) 910-0909 | |
| Not Available |
| Full Name | Frb Gastroenterology LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1607 Ave. Ponce De Leon Ste Gm-04, San Juan, Puerto Rico |
| Authorized Official Name and Position | Frances Rodriguez Berrios (PRESIDENT) |
| Authorized Official Contact | 7879100909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frb Gastroenterology LLC A13 Calle 2 Bayamon PR 00957-4379 | Frb Gastroenterology LLC 1607 Ave. Ponce De Leon Ste Gm-04 Cobians Plaza San Juan PR 00909 Ph: (787) 910-0909 |
| NPI Number | 1396457826 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 4789056656 |
|---|---|
| Medicare Enrollment ID | O20230202002862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396457826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (NU) | Primary |
| Provider Name | Frances Rodriguez Berrios |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285036715 PECOS PAC ID: 0941615777 Enrollment ID: I20210209001032 |
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