| Gastro Med, Csp | |
|
58 Ave Barbosa Arecibo PR 00612-4378 | |
| (787) 878-1900 | |
| (787) 878-0421 |
| Full Name | Gastro Med, Csp |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 58 Ave Barbosa, Arecibo, Puerto Rico |
| Authorized Official Name and Position | Luis Rafael Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7878781900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro Med, Csp Po Box 411 Arecibo PR 00613-0411 Ph: (787) 878-1908 | Gastro Med, Csp 58 Ave Barbosa Arecibo PR 00612-4378 Ph: (787) 878-1900 |
| NPI Number | 1285757898 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285757898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4624 (Puerto Rico) | Primary |
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