| Puerto Rico Gastro Care P.S.C. | |
|
Carr. 2 Km 47.7 Manati PR 00674 | |
| (787) 854-3322 | |
| Not Available |
| Full Name | Puerto Rico Gastro Care P.S.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | Carr. 2 Km 47.7, Manati, Puerto Rico |
| Authorized Official Name and Position | Jose a Hernandez Roman (PRESIDENT) |
| Authorized Official Contact | 7875529440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Puerto Rico Gastro Care P.S.C. 89 Calle Kennedy Toa Alta PR 00953-3627 Ph: (787) 552-9440 | Puerto Rico Gastro Care P.S.C. Carr. 2 Km 47.7 Manati PR 00674 Ph: (787) 854-3322 |
| NPI Number | 1508641606 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 2961949011 |
|---|---|
| Medicare Enrollment ID | O20240807000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508641606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (NU) | Primary |
| Provider Name | Jose a Hernandez Roman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033666425 PECOS PAC ID: 0446508170 Enrollment ID: I20240807000337 |
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