GASTROINTESTINAL DIAGNOSTIC CLINIC OF PR, LLC


Address: Calle Sgto. Hernandez Carrion, Mmc Professional Plaza, Suite 307, Manati, PR 00674
Phone: 7878840310

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0800X Clinic/Center
Specialization: Endoscopy
18138 PR Ambulatory Health Care Facilities

Office Location

Street Address CALLE SGTO. HERNANDEZ CARRION
MMC PROFESSIONAL PLAZA, SUITE 307
City MANATI
State PR
Zip Code 00674

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1538774427 Yomayra Cruz I Social Worker The Renal Center of Manati, Carr. 2 Km. 47.7, Manati, PR 00674 2020-09-09
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Taxonomy Information

Taxonomy Code 261QE0800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Endoscopy

Taxonomy Definition

Definition to come...

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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
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Competitor

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City MANATI
Zip Code 00674

Improve Information

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Dataset Information

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.

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