| G3a Gastroenterology LLC | |
|
150 Ave Americo Miranda Bo Monacillos Hospital Oncologico San Juan PR 00935 | |
| (787) 413-9923 | |
| Not Available |
| Full Name | G3a Gastroenterology LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 Ave Americo Miranda Bo Monacillos, San Juan, Puerto Rico |
| Authorized Official Name and Position | Artemio Santiago Molina (PRESIDENT / OWNER) |
| Authorized Official Contact | 7876070699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G3a Gastroenterology LLC Po Box 360889 San Juan PR 00936-0889 | G3a Gastroenterology LLC 150 Ave Americo Miranda Bo Monacillos Hospital Oncologico San Juan PR 00935 Ph: (787) 413-9923 |
| NPI Number | 1184321200 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Medicare PECOS PAC ID | 7416314547 |
|---|---|
| Medicare Enrollment ID | O20230606001060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184321200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (NU) | Primary |
| Provider Name | Artemio Santiago-molina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770928046 PECOS PAC ID: 9931441748 Enrollment ID: I20190426001390 |
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