Organization Active NPI

Grupo Gastroenterologico del Este P S C

  • Gastroenterology Physician
  • Humacao, PR
National Provider Identifier
1235299306
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GRUPO GASTROENTEROLOGICO DEL ESTE P S C
Practice address
101 Calle Padre Rivera
Humacao, PR 00791-3451
Phone
(787) 285-4387
Fax
(787) 285-1634
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Mrs. Ruth A Rodriguez
Title
Administrator
Phone
(787) 285-4387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

101 Calle Padre Rivera
Humacao, PR 00791-3451

Mailing address

Box 9111
Humacao, PR 00792
Phone (787) 285-4387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100924000455 PR Part B Supplier - Clinic/Group Practice 1355467523 Receives reassigned benefits from 2 practitioners
Practice locations: Humacao, PR

National Provider Directory

National Provider Directory

Locations

101 Calle Padre Rivera
Humacao, PR 00791
Phone (787) 285-4387

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1235299306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 9111",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-285-4387",
            "fax_number": "787-285-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CALLE PADRE RIVERA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913451",
            "telephone_number": "787-285-4387",
            "fax_number": "787-285-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO GASTROENTEROLOGICO DEL ESTE P S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-285-4387",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.