Gastro Sur PSC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

18073 Issued in PR

Legal business name

GASTRO SUR PSC

Practice address

Porto Fino Plaza Carr #3 KM 158.7
Salinas, PR 00751

Phone

(787) 239-7850

Fax

(866) 325-4826

NPI assigned

Sep 2, 2016

Last updated

Jun 14, 2023By 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. Amarilys Santiago Rolon, MDNPI 1548415177

Title

President

Phone

(787) 537-7991

Specialties & licenses 1

Addresses

Other identifiers 1

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, and the practitioner matching its NPPES authorized official.

• Amarilys Santiago Rolon, MD

  • Gastroenterology Physician
  • Salinas, PR
  • NPI 1548415177
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1124575444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007950827",
            "telephone_number": "787-239-7850",
            "fax_number": "866-325-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PORTO FINO PLAZA CARR #3 KM 158.7",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-239-7850",
            "fax_number": "866-325-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO SUR PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO ROLON",
        "authorized_official_first_name": "AMARILYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-537-7991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "18073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "18073",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• FM Salinas Corp. (Farmacia Pabon)
• Francisco Mendez Lopez MD CSP
• Juan J Frias
• Elizabeth Garcia Cabrera, SOCIAL WORKER
• Carlos E Garcia-Rodriguez, PHARMD
• Julio Cesar Gonzalez Lozada, FNP AANP #F0818053
• Quidani Xavier Gonzalez Morales
• Lianetza Marie Gonzalez Rivera
• Maria Del Carmen Gonzalez Torres
• Angel Luis Gonzalez Jr.

• Gastroenterology Physician in Salinas, PR
• Providers in Salinas, 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 14, 2023; 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.