Gastro Med, CSP

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4624 Issued in PR

Legal business name

GASTRO MED, CSP

Practice address

58 Ave Barbosa
Arecibo, PR 00612-4378

Phone

(787) 878-1900

Fax

(787) 878-0421

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Luis Rafael Gonzalez, M.D.

Title

President

Phone

(787) 878-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285757898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130411",
            "telephone_number": "787-878-1908",
            "fax_number": "787-878-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 AVE BARBOSA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124378",
            "telephone_number": "787-878-1900",
            "fax_number": "787-878-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO MED, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-878-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "4624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thalia Marie Garcia, LP
• Yadira Garcia, D.M.D.
• Yessika M Garcia
• Claudee James Garnett-Torres
• Gastro Health PR Inc
• Gastro-Centro Norte PSC
• Nelliangely Gerena
• GFR Anesthesia LLC
• GG Anesthesia LLC
• Giacrimar Corp (Laboratorio Clinico Roman)

• Gastroenterology Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Gastroenterology Physician in Puerto Rico

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.