Ym Gastro LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

17524 Issued in PR

Legal business name

YM GASTRO LLC

Practice address

735 Ave Ponce de Leon
Torre Medica Auxilio Mutuo 707
San Juan, PR 00917-5022

Phone

(787) 756-5900

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Yahaira Moreno Denizard, M.D.NPI 1982898490

Title

President

Phone

(787) 452-3122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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

• Yahaira Moreno Denizard, M.D.

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1982898490
  Medicare reassignment NPD Authorized official
• Ivan Antunez Gonzalez, M.D.

  • Gastroenterology Physician
  • Guaynabo, PR
  • NPI 1962457408
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1366821126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE MEDICA AUXILIO MUTUO 707",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-756-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE MEDICA AUXILIO MUTUO 707",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-756-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YM GASTRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "MORENO DENIZARD",
        "authorized_official_first_name": "YAHAIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-452-3122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "17524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Yassin, RPH
• Sultan Saleh Yassin, PHARMD
• Kiana Juliette Yeganeh
• Carmen Ana Yejo, M.D.
• Ylc Migs-CPP Specialist LLC
• Yomi Dental LLC
• Natalia Isabel Yordan Fernandez
• Ysl PSC
• Luisa Ysland Eusebio, M.D.
• Crystal L Yu de Jesus, PHARMD, RPH

• Gastroenterology Physician in San Juan, PR
• Providers in San Juan, 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 May 27, 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.