| Quality Gastroenterology LLC | |
|
Carr 181 Km 2.1 Trujillo Alto PR 00956 | |
| (787) 347-5611 | |
| (866) 912-2620 |
| Full Name | Quality Gastroenterology LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | Carr 181 Km 2.1, Trujillo Alto, Puerto Rico |
| Authorized Official Name and Position | Fernando Baez (PRESIDENT) |
| Authorized Official Contact | 7873475611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Gastroenterology LLC Montehiedra 211 Zorzal San Jua PR 00926 Ph: (787) 347-5611 | Quality Gastroenterology LLC Carr 181 Km 2.1 Trujillo Alto PR 00956 Ph: (787) 347-5611 |
| NPI Number | 1528667821 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/15/2020 |
| Medicare PECOS PAC ID | 2860805330 |
|---|---|
| Medicare Enrollment ID | O20201231000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528667821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (NU) | Primary |
| Provider Name | Fernando Baez Corujo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962796524 PECOS PAC ID: 4688944283 Enrollment ID: I20170713003287 |
| Provider Name | Emmanuel Reyes Ramos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326332743 PECOS PAC ID: 4183997950 Enrollment ID: I20230314000468 |
| Provider Name | Diego Roman Colon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063973501 PECOS PAC ID: 0749796886 Enrollment ID: I20250731000269 |
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