Organization Active NPI

Manati Gastrointestinal Office PSC

  • Gastroenterology Physician
  • Manati, PR
National Provider Identifier
1215124680
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
7736 Issued in PR
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20080312000192 PR Part B Supplier - Clinic/Group Practice 8224112909 Receives reassigned benefits from 1 practitioner
Practice locations: Manati, PR

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.