NPIMap

Organization Active NPI

De Jesus-Torres, Gastroenterologos del Oeste, CSP

  • Gastroenterology Physician
  • Mayaguez, PR
National Provider Identifier
1386608446
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14742 Issued in PR
Legal business name
DE JESUS-TORRES, GASTROENTEROLOGOS DEL OESTE, CSP
Practice address
Calle de Diego #16 Oeste
Mayaguez, PR 00680
Phone
(787) 831-6060
Fax
(787) 892-0301
NPI assigned
Apr 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Mrs. Saynil Vilanova
Title
Secretaria Facturadora
Phone
(787) 264-4433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X 14742 PR Primary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X 14846 PR

Addresses

Primary practice location

Calle de Diego #16 Oeste
Mayaguez, PR 00680

Mailing address

PO Box 521
Lajas, PR 00667
Phone (787) 264-4433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041221000227 PR Part B Supplier - Clinic/Group Practice 2567420730 Receives reassigned benefits from 2 practitioners
Practice locations: Mayaguez, PR; San German, PR

National Provider Directory

National Provider Directory

Locations

16 Calle de Diego W
Mayaguez, PR 00680
Phone (787) 831-6060

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1386608446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-264-4433",
            "fax_number": "787-892-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DE DIEGO #16 OESTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-831-6060",
            "fax_number": "787-892-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE JESUS-TORRES, GASTROENTEROLOGOS DEL OESTE, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "VILANOVA",
        "authorized_official_first_name": "SAYNIL",
        "authorized_official_title_or_position": "SECRETARIA FACTURADORA",
        "authorized_official_telephone_number": "787-264-4433",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "14742",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "14846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.