FRC Gastro LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

FRC GASTRO LLC

Practice address

Edificio Dr. Arturo Cadilla Vinas Suite 210
Bayamon, PR 00961

Phone

(787) 238-1575

NPI assigned

Sep 29, 2022

Organization subpart

No

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

Authorized official

Name

Fabiola Rios de Choudens, MDNPI 1124412010

Title

Owner/Ceo

Phone

(787) 238-8628

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Fabiola Cristina Rios de Choudens, M.D.

  • Gastroenterology Physician
  • Manati, PR
  • NPI 1124412010

  Gastroenterology, PR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1386368702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RIVIERA VILLAGE 80 CALLE QUEENS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO DR. ARTURO CADILLA VINAS SUITE 210",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-238-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRC GASTRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "RIOS DE CHOUDENS",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "787-238-8628",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1124412010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NX689",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "frcgastro.com",
            "affiliation": "N",
            "address_1": "Edificio Dr. Arturo Cadilla Vinas Suite 210",
            "city": "Bayamon",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jose Antonio Franceschini, M.D.
• Leyda I Franceschini, O.D
• Dionela Noemi Francisco Paredes, MEDICO ASISTENTE
• Sandra Franco Delvalle
• Rafael Franco
• Bianca Gisselle Freire
• Maria I. Freire, OD
• Angelica Milady Fuentes Armesto, MD, DABFM
• Marangelis Fuentes Emmanuelli, PT
• Ariana N Fuentes Lopez, PHARMD

• All providers in Bayamon, PR
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.