| Gastro Nova, LLC | |
|
Mayaguez Medical Ctr Mayaguez PR 00682-1560 | |
| (787) 652-9200 | |
| Not Available |
| Full Name | Gastro Nova, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | Mayaguez Medical Ctr, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Yue Sai Jao Ayala (PRESIDENT) |
| Authorized Official Contact | 7872422434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro Nova, LLC Po Box 3843 Mayaguez PR 00681-3843 | Gastro Nova, LLC Mayaguez Medical Ctr Mayaguez PR 00682-1560 Ph: (787) 652-9200 |
| NPI Number | 1386535276 |
|---|---|
| Provider Enumeration Date | 07/10/2025 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Medicare PECOS PAC ID | 2961901632 |
|---|---|
| Medicare Enrollment ID | O20250819002820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386535276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Yue S Jao Ayala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952858896 PECOS PAC ID: 8224537998 Enrollment ID: I20250825002511 |
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