Neuro Gi Wellness Centre PSC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

12865 Issued in PR

Legal business name

NEURO GI WELLNESS CENTRE PSC

Practice address

200 Ave Winston Churchill Ste 201
San Juan, PR 00926-6655

Phone

(787) 283-0804

Fax

(787) 761-5764

NPI assigned

Feb 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Henry Gonzalez-Rivera, MD

Title

President

Phone

(787) 283-0804

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1053455014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771132",
            "telephone_number": "787-283-0804",
            "fax_number": "787-761-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE WINSTON CHURCHILL STE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266655",
            "telephone_number": "787-283-0804",
            "fax_number": "787-761-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO GI WELLNESS CENTRE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-RIVERA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-283-0804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "12865",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "12,865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neo Esthetique European Institute, LLC
• Nephrology&Internalmedicinepartnerspsc
• Esther M. Neris, R. PH. M.S.
• Julio Nerys-Figueroa, MD
• Neuro Feeding LLC
• Neuro Gi Wellness Centre, PSC
• Neuro Id Group, PSC
• Neuro Lab Therapy Group, LLC
• Neuro Premier Services Inc.
• Neuro Skeletal Imaging PSC

• All providers in San Juan, PR
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.