Active NPI
Gastro Med del Sur, P.S.C.
- Specialist
- Ponce, PR
National Provider Identifier
1245231497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8042
- Legal business name
- GASTRO MED DEL SUR, P.S.C.
- Practice address
- 909 Ave. Tito Castro Suite 518
Torre Medica San Lucas
Ponce, PR 00716-4721 - Phone
- (787) 290-2948
- Fax
- (787) 841-4832
- NPI assigned
- Aug 9, 2005
- 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
- Mrs. Carmen L. Santiago, M.D.
- Title
- President
- Phone
- (787) 290-2948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 8042 | PR | Primary |
Addresses
Primary practice location
909 Ave. Tito Castro Suite 518
Torre Medica San Lucas
Ponce, PR 00716-4721
Mailing address
909 Ave. Tito Castro Suite 518
Torre Medica San Lucas
Ponce, PR 00716-4721
Phone (787) 290-2948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
909 Ave Tito Castro
Ste 518
Ponce, PR 00716
Phone (787) 290-2948
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Ponce, PR
- NPI 1487612255
-
- Internal Medicine Physician
- Bayamon, PR
- NPI 1003009127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230508800000",
"number": "1245231497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 AVE. TITO CASTRO SUITE 518",
"address_2": "TORRE MEDICA SAN LUCAS",
"city": "PONCE",
"state": "PR",
"postal_code": "007164721",
"telephone_number": "787-290-2948",
"fax_number": "787-841-4832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 AVE. TITO CASTRO SUITE 518",
"address_2": "TORRE MEDICA SAN LUCAS",
"city": "PONCE",
"state": "PR",
"postal_code": "007164721",
"telephone_number": "787-290-2948",
"fax_number": "787-841-4832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTRO MED DEL SUR, P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2008-12-29",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-290-2948",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PR",
"license": "8042",
"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 Dec 29, 2008; 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.