Gastrocare LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROCARE LLC

Practice address

2572 W State Road 426 Ste 1000
Oviedo, FL 32765-8389

Phone

(787) 409-7099

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

Ian R Martinez, MDNPI 1376734962

Title

Owner

Phone

(787) 409-7099

Specialties & licenses 1

Addresses

Other names 1

• Gastrocare Other name

Locations

Practitioners 1

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

• Ian R Martinez, M.D.

  • Gastroenterology Physician
  • Oviedo, FL
  • NPI 1376734962
  NPD Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1396319489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 FILLY TRL",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658130",
            "telephone_number": "787-409-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426 STE 1000",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658389",
            "telephone_number": "787-409-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-409-7099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastrocare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Kay Gardener, MS, RDN, LDN
• Alexander Caguioa Garduque, RPT
• Charles F Garone, O.D.
• Jessica Garretson
• Gastro Health, LLC
• Gastroenterology Services, LLC
• Robert Edward Gates Jr., L.AC, AP
• Gaviota Counseling, Inc.
• Peter N Gayed, D.D.S.
• Nicole E Geiger, MS,BCBA

• Gastroenterology Physician in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.