Acl Gastro PSC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

15922 Issued in PR

Legal business name

ACL GASTRO PSC

Practice address

Hospital Metropolitano 1785 Carr. 21 Urb. Las Lomas
Suite 208
Guaynabo, PR 00921

Phone

(787) 220-4435

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Abdiel Cruz-LoubrielNPI 1326005364

Title

President

Phone

(787) 479-2004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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

• Abdiel Cruz-Loubriel, M.D.

  • Gastroenterology Physician
  • Guaynabo, PR
  • NPI 1326005364
  Medicare reassignment NPD Authorized official
• Roberto M. Vendrell, MD

  • Gastroenterology Physician
  • Guaynabo, PR
  • NPI 1407830250
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1447589247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA FLORESTA 1000 CARR. 831 APT. 641",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-479-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL METROPOLITANO 1785 CARR. 21 URB. LAS LOMAS",
            "address_2": "SUITE 208",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-220-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACL GASTRO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "CRUZ-LOUBRIEL",
        "authorized_official_first_name": "ABDIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-479-2004",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "15922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah M Acevedo-Roman, MD
• Karina I. Acevedo, PHD
• Luis Alberto Acevedo
• Maribel Acevedo, MD
• Wida M Acevedo, M.D.
• Lester Acosta Cruz, 1406P
• Nelson S Acosta Pagan, 1186P
• Jose D Acosta Ruiz, 818P
• Jose Antonio Acosta, PA
• Administrative Environmental and Sports Consultants Corp

• Gastroenterology Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.