Organization Active NPI

Clinica de Gastroenterologia Dr. Rafael Perez Bartolomei CSP

  • Gastroenterology Physician
  • Manati, PR
National Provider Identifier
1437339462
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14750 Issued in PR
Legal business name
CLINICA DE GASTROENTEROLOGIA DR. RAFAEL PEREZ BARTOLOMEI CSP
Practice address
B40 Calle Elliot Velez
Urb Atenas
Manati, PR 00674-4615
Phone
(787) 884-4872
Fax
(787) 884-4873
NPI assigned
Nov 7, 2007
Last updated
Sep 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. Rafael A Perez-Bartolomei, MDNPI 1871692319
Title
President
Phone
(787) 884-4872

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 14750 PR Primary

Addresses

Primary practice location

B40 Calle Elliot Velez
Urb Atenas
Manati, PR 00674-4615

Mailing address

B40 Calle Elliot Velez
Urb Atenas
Manati, PR 00674-4615
Phone (787) 884-4872

Other identifiers 2

IdentifierTypeStateIssuer
0085384OtherPRMEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
14750OtherPRMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080501000538 PR Part B Supplier - Clinic/Group Practice 8022197011 Receives reassigned benefits from 1 practitioner
Practice locations: Manati, PR

National Provider Directory

National Provider Directory

Locations

200 Calle Hernandez Carrion
Ste 4204
Manati, PR 00674
Phone (787) 884-4477

B40 Calle Elliot Velez
Manati, PR 00674
Phone (787) 237-3480

Practitioners & affiliated clinicians

Practitioners 2

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": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1437339462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B40 CALLE ELLIOT VELEZ",
            "address_2": "URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744615",
            "telephone_number": "787-884-4872",
            "fax_number": "787-884-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B40 CALLE ELLIOT VELEZ",
            "address_2": "URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744615",
            "telephone_number": "787-884-4872",
            "fax_number": "787-884-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE GASTROENTEROLOGIA DR. RAFAEL PEREZ BARTOLOMEI CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ-BARTOLOMEI",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-884-4872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "14750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "0085384",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "14750",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.