RFD Gastro LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

18791 Issued in PR

Legal business name

RFD GASTRO LLC

Practice address

101 Ave San Patricio Ste 1050
Guaynabo, PR 00968-3049

Phone

(787) 946-5220

Fax

(787) 946-5221

NPI assigned

Apr 3, 2018

Organization subpart

No

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

Authorized official

Name

Rocio Feliu Dominguez, MDNPI 1659653475

Title

President

Phone

(787) 946-5220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RFD GASTRO LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rocio Feliu Dominguez

  • Gastroenterology Physician
  • Guaynabo, PR
  • NPI 1659653475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1104322734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 LUIS VIGOREAUX PMB 572",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-946-5220",
            "fax_number": "787-956-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO STE 1050",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683049",
            "telephone_number": "787-946-5220",
            "fax_number": "787-946-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RFD GASTRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "FELIU DOMINGUEZ",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-946-5220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "18791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL",
            "identifier": "18791",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RFD GASTRO LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "RFD GASTRO LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gerson O Reyes Santiago, 1540P
• Angel M Reyes-Alicea, MD
• Jose Carlos Reyes-Pena, MD
• Sara M. Reyes-Pesante, M.D.
• Victoria Reyes, M.S SLP
• Roxane Ribott Diaz, DSW
• Tamara Michelle Riboul, M.D.
• Francis J Ricci Santana, 1844P
• Israel Rigau Rodriguez, 1249P
• Haydee M Rincon Peona

• Gastroenterology Physician in Guaynabo, PR
• Providers in Guaynabo, 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 Jun 16, 2018; 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.