Organization Active NPI

Rca Gastro Services P.S.C

  • Clinic/Center
  • Coto Laurel, PR
National Provider Identifier
1386159549
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RCA GASTRO SERVICES P.S.C
Practice address
305A Torre San Cristobal
Coto Laurel, PR 00780-2849
Phone
(787) 717-4010
Fax
(787) 569-8301
NPI assigned
Dec 11, 2017
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Rafael A Cordero Arill, MDNPI 1851584130
Title
President
Phone
(787) 717-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PR Primary

Addresses

Primary practice location

305A Torre San Cristobal
Coto Laurel, PR 00780-2849

Mailing address

305 A Suite Torre San Cristobal
Ave San Cristobal
Coto Laurel, PR 00780
Phone (787) 717-4010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180328002406 PR Part B Supplier - Clinic/Group Practice 5991067191 Receives reassigned benefits from 1 practitioner
Practice locations: Coto Laurel, PR

National Provider Directory

National Provider Directory

Locations

305 Torre San Cristobal
#A
Coto Laurel, PR 00780
Phone (787) 717-4010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1386159549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 A SUITE TORRE SAN CRISTOBAL",
            "address_2": "AVE SAN CRISTOBAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-717-4010",
            "fax_number": "787-569-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305A TORRE SAN CRISTOBAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802849",
            "telephone_number": "787-717-4010",
            "fax_number": "787-569-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCA GASTRO SERVICES P.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "CORDERO ARILL",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-717-4010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.