Organization Active NPI

A & S Gastrointestinal Diseases Clinics PSC

  • Gastroenterology Physician
  • Guaynabo, PR
National Provider Identifier
1356692057
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
13434 Issued in PR
Legal business name
A & S GASTROINTESTINAL DISEASES CLINICS PSC
Practice address
35 Calle Juan C Borbon Ste 67
Guaynabo, PR 00969-5375
Phone
(787) 765-6554
Fax
(787) 283-3476
NPI assigned
Sep 21, 2012
Last updated
Sep 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. Ivan D Antunez Gonzalez, M.D.
Title
President
Phone
(787) 765-6554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 13434 PR Primary

Addresses

Primary practice location

35 Calle Juan C Borbon Ste 67
Guaynabo, PR 00969-5375

Mailing address

PMB 311 Num 35 Juan C Borbon Suite 67
Guaynabo, PR 00969-0000
Phone (787) 765-6554

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1356692057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 311 NUM 35 JUAN C BORBON SUITE 67",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009690000",
            "telephone_number": "787-765-6554",
            "fax_number": "787-283-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CALLE JUAN C BORBON STE 67",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695375",
            "telephone_number": "787-765-6554",
            "fax_number": "787-283-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & S GASTROINTESTINAL DISEASES CLINICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "ANTUNEZ GONZALEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-765-6554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "13434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.