Active NPI
Manati Gastrointestinal Office PSC
- Gastroenterology Physician
- Manati, PR
National Provider Identifier
1215124680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 7736
- Legal business name
- MANATI GASTROINTESTINAL OFFICE PSC
- Practice address
- Carr. # 2 KM. 47.7
Hospital Doctor's Center, Torre Antigua, Oficina #404
Manati, PR 00674-5507 - Phone
- (787) 884-2426
- Fax
- (787) 854-8005
- NPI assigned
- Oct 1, 2007
- Last updated
- Jul 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wilson Ortiz Cotti, MD
- Title
- President
- Phone
- (787) 884-2426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 7736 | PR | Primary |
Addresses
Primary practice location
Carr. # 2 KM. 47.7
Hospital Doctor's Center, Torre Antigua, Oficina #404
Manati, PR 00674-5507
Mailing address
PO Box 411
Manati, PR 00674-0411
Phone (787) 884-2426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Gastroenterology Physician
- Manati, PR
- NPI 1295952984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435708800000",
"number": "1215124680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411",
"city": "MANATI",
"state": "PR",
"postal_code": "006740411",
"telephone_number": "787-884-2426",
"fax_number": "787-854-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. # 2 KM. 47.7",
"address_2": "HOSPITAL DOCTOR'S CENTER, TORRE ANTIGUA, OFICINA #404",
"city": "MANATI",
"state": "PR",
"postal_code": "006745507",
"telephone_number": "787-884-2426",
"fax_number": "787-854-8005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANATI GASTROINTESTINAL OFFICE PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2015-07-01",
"status": "A",
"authorized_official_last_name": "COTTI",
"authorized_official_first_name": "WILSON",
"authorized_official_middle_name": "ORTIZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-884-2426",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PR",
"license": "7736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.