GASTROINTESTINAL DIAGNOSTIC CLINIC OF PR, LLC (NPI# 1316384100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316384100 |
Entity Type | Organization |
Organization Name | GASTROINTESTINAL DIAGNOSTIC CLINIC OF PR, LLC |
Practice Address |
Calle Sgto. Hernandez Carrion Mmc Professional Plaza, Suite 307 Manati PR 00674 |
Mailing Address |
1353 Ave Luis Vigoreaux Pmb 389 Guaynabo PR 00966-2715 |
Practice Telephone | 7878840310 |
Practice Fax Number | 7878543270 |
Mailing Telephone | 7878840310 |
Mailing Fax Number | 7878543270 |
Enumeration Date | 2013-06-03 |
Last Update Date | 2013-06-03 |
Authorized Official Name | DR. SAMUEL RIVERA DE JESUS (OWNER) |
Authorized Official Telephone | 7876469724 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
18138 | PR | Ambulatory Health Care Facilities |
Street Address |
CALLE SGTO. HERNANDEZ CARRION MMC PROFESSIONAL PLAZA, SUITE 307 |
City | MANATI |
State | PR |
Zip Code | 00674 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528668845 | Marlyne Lopez Pantoja | Psychologist | Urb. Monserrate C/ Golondrina G-2 #504, Manati, PR 00674 | 2020-10-27 |
1538768338 | Yaidelise Ayala-villalobos | Speech-Language Pathologist | Bo Cotto Norte Urb Villa Maria B-4, Manati, PR 00674 | 2020-10-22 |
1043826142 | Karina Mariel Garcia Collazo | General Practice | Est. Valle Verde #41, Calle Quebrada, Manati, PR 00674 | 2020-09-23 |
1184239287 | Xayisnalie Martinez Rodriguez | Student in an Organized Health Care Education/Training Program | Bo San Jose 13 Calle Jaraquemada, Manati, PR 00674 | 2020-09-15 |
1114532207 | Professional Nutrition By Lcda. Daina Vega Miranda LLC | Nutritionist | Urb Atenas B-36 Calle Elliot Velez, Manati, PR 00674 | 2020-09-15 |
1538774427 | Yomayra Cruz I | Social Worker | The Renal Center of Manati, Carr. 2 Km. 47.7, Manati, PR 00674 | 2020-09-09 |
1487268942 | Keila Raquel Alvarado | Social Worker | 208 Calle Gorrion Urb. Hacienda La Monserrate, Manati, PR 00674 | 2020-09-02 |
1598374415 | Beyond Care Doctor Group Csp | General Practice | Bo Cotto Norte Carr 670 Km 3.2, Manati, PR 00674 | 2020-07-27 |
1295343267 | David Agustin Lopez Rodriguez | General Practice | Calle Hernandez Carrion Urb Atenas Manati, Manati, PR 00674 | 2020-07-16 |
1326664160 | Lislie Lisete Gonzalez Veitia | Family Medicine | Manati Medical Center, Calle Hernandez Carrion, Manati, PR 00674 | 2020-06-17 |
Find all providers in zip 00674 |
Taxonomy Code | 261QE0800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Endoscopy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588040281 | Melendez Gastroenterology Institute, LLC | Clinic/Center | 4246 Carretera 2 Km 43, Vega Baja, PR 00693-4128 | 2015-08-04 |
1619394038 | Gastro-centro Norte Psc | Clinic/Center | Carr #10 Km 85.7 Edif D Suite 5 Bo. Tanama, Arecibo, PR 00613 | 2014-03-24 |
1063843035 | Ashford Gastroenterology Services | Clinic/Center | 29 Calle Washington Ste 506, San Juan, PR 00907-1521 | 2013-12-02 |
1689003576 | Advanced Gastroenterology Center, Psc | Clinic/Center | Carr 115 Km 24.1, Aguada, PR 00602 | 2013-11-01 |
1407289473 | Advanced Gastroenterology Center | Clinic/Center | Carr 115 Km 24.5, Bo Asomante, Aguada, PR 00602 | 2013-08-14 |
1740624329 | Gastro Centro PCs | Clinic/Center | Torre Del Metropolitano 1789 Suite 209 Carr. 21, San Juan, PR 00921 | 2013-04-25 |
1205127032 | Advanced Endoscopy Center Psc | Clinic/Center | 2225 Ponce Byp Ste 806, 2225 Ponce By Pass, Ponce, PR 00717-1379 | 2011-04-27 |
1053550525 | Gastroenterology & Hepatic Wellness, Psc | Clinic/Center | 1431 Ponce De Leon, Suite 402, San Juan, PR 00907-4033 | 2009-02-06 |
1407091036 | Centro De Endoscopia Avanzada Del Caribe Inc. | Clinic/Center | De Diego St. 55 East, Cpr Professional Bldg. Suite 104, Mayaguez, PR 00681 | 2008-12-11 |
1235105453 | Centro Digestivo & Hepatobiliar Csp | Clinic/Center | 500 Ave Degetau Ste 405, Hima Plaza 1, Caguas, PR 00725-7306 | 2006-02-27 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.