| Southeast Gastroenterology Psc | |
|
222b Calle 4 Urb Vives Guayama PR 00784 | |
| (787) 866-4005 | |
| (787) 866-4072 |
| Full Name | Southeast Gastroenterology Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 222b Calle 4, Guayama, Puerto Rico |
| Authorized Official Name and Position | Joel Javier De Jesus (PRESIDENT) |
| Authorized Official Contact | 9396395839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Gastroenterology Psc Po Box 510 Guayama PR 00785-0510 Ph: (787) 866-4005 | Southeast Gastroenterology Psc 222b Calle 4 Urb Vives Guayama PR 00784 Ph: (787) 866-4005 |
| NPI Number | 1750758009 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 08/21/2015 |
| Medicare PECOS PAC ID | 7315242542 |
|---|---|
| Medicare Enrollment ID | O20160225000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750758009 | NPI | - | NPPES |
| 1821061383 | Other | PR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 14017 (Puerto Rico) | Primary |
| Provider Name | Joel J De Jesus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821061383 PECOS PAC ID: 8022026574 Enrollment ID: I20060327000056 |
Luis Adrian Rivera Pomales, Md, Mba, Mph, Ccd, Dabbm, Csp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Calle Ashford #62 Norte, Guayama, PR 00784 Phone: 787-864-6570 Fax: 787-866-8298 | |
Corp Fondo Del Seguro Del Estado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 3 Km 0 Desvio Sur, Ave Pedro Albizu Campos, Guayama, PR 00785 Phone: 787-864-0095 | |
Family Vision Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48, Plaza Guayama Mall, Guayama, PR 00784 Phone: 787-864-6884 Fax: 787-866-2626 | |
Metro Pavia Clinic - Guayama Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Avenida Principal Km03, Urb Brisas Del Mar, Guayama, PR 00784 Phone: 787-772-9850 Fax: 787-641-4240 | |
Wellness Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carretera 3 Km 138.1, Esquina Calle Bering, Guayama, PR 00785 Phone: 787-674-8729 | |
Vision 2000 Hco Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Commerce Plaza, Suite 301, Guayama, PR 00784 Phone: 787-866-4618 | |
Guayama Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42 Calle Palmer S, Guayama, PR 00784 Phone: 787-866-0725 Fax: 787-866-0715 |