| Rfd Gastro Llc | |
|
101 Ave San Patricio Ste 1050 Guaynabo PR 00968-3049 | |
| (787) 946-5220 | |
| (787) 946-5221 |
| Full Name | Rfd Gastro Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Ave San Patricio Ste 1050, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Rocio Feliu Dominguez (PRESIDENT) |
| Authorized Official Contact | 7879465220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rfd Gastro Llc 1353 Luis Vigoreaux Pmb 572 Guaynabo PR 00966 Ph: (787) 946-5220 | Rfd Gastro Llc 101 Ave San Patricio Ste 1050 Guaynabo PR 00968-3049 Ph: (787) 946-5220 |
| NPI Number | 1104322734 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 2860749918 |
|---|---|
| Medicare Enrollment ID | O20180719002531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104322734 | NPI | - | NPPES |
| 18791 | Other | PR | STATE MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 18791 (Puerto Rico) | Primary |
| Provider Name | Rocio Feliu Dominguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659653475 PECOS PAC ID: 0547530727 Enrollment ID: I20171026003396 |
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