Instituto de Gastroenterologia de Humacao

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

15902 Issued in PR

Legal business name

INSTITUTO DE GASTROENTEROLOGIA DE HUMACAO

Practice address

355 Ave Font Martelo
Suite 509
Humacao, PR 00791-3249

Phone

(787) 656-0758

NPI assigned

Nov 15, 2013

Last updated

Nov 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dagmary PurcellNPI 1134203276

Title

President

Phone

(787) 467-5812

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dagmary Purcell, M.D.

  • Gastroenterology Physician
  • Humacao, PR
  • NPI 1134203276
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1063842854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND PASEO DEL ROCIO",
            "address_2": "APT 308",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266672",
            "telephone_number": "787-467-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 AVE FONT MARTELO",
            "address_2": "SUITE 509",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913249",
            "telephone_number": "787-656-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO DE GASTROENTEROLOGIA DE HUMACAO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "DAGMARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-467-5812",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "15902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.