NPIMap

Organization Active NPI

Instituto de Endoscopia Digestiva del Sur

  • Gastroenterology Physician
  • Ponce, PR
National Provider Identifier
1144252198
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4589 Issued in PR
Legal business name
INSTITUTO DE ENDOSCOPIA DIGESTIVA DEL SUR
Practice address
450 C/Ferrocarril, Ste. 216
Santa Maria Medical
Ponce, PR 00717-1105
Phone
(787) 848-5897
Fax
(787) 284-4197
NPI assigned
Jul 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luis Martinez-Sierra, MDNPI 1376673335
Title
President
Phone
(787) 848-5897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 6905 PR
Gastroenterology Physician 207RG0100X 4589 PR Primary

Addresses

Primary practice location

450 C/Ferrocarril, Ste. 216
Santa Maria Medical
Ponce, PR 00717-1105

Mailing address

450 C/Ferrocarril, Ste. 216
Santa Maria Medical
Ponce, PR 00717-1105
Phone (787) 848-5897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060125000169 PR Part B Supplier - Clinic/Group Practice 8224052527 Receives reassigned benefits from 4 practitioners
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

450 Calle Ferrocarril
Ste 216
Ponce, PR 00717
Phone (787) 848-5897

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144252198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 C/FERROCARRIL, STE. 216",
            "address_2": "SANTA MARIA MEDICAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171105",
            "telephone_number": "787-848-5897",
            "fax_number": "787-284-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 C/FERROCARRIL, STE. 216",
            "address_2": "SANTA MARIA MEDICAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171105",
            "telephone_number": "787-848-5897",
            "fax_number": "787-284-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO DE ENDOSCOPIA DIGESTIVA DEL SUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-SIERRA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-848-5897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "6905",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "4589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.