Active NPI
Gastroenterology and Cardiac Arrhythmia Service PSC
- Gastroenterology Physician
- Trujillo Alto, PR
National Provider Identifier
1497997555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 15,987
- Legal business name
- GASTROENTEROLOGY AND CARDIAC ARRHYTHMIA SERVICE PSC
- Practice address
- 93 Paseo Herradura
Trujillo Alto, PR 00976-6068 - Phone
- (787) 390-9090
- NPI assigned
- Apr 2, 2009
- Last updated
- Apr 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luarde Isaac Montano, M.D.
- Title
- President
- Phone
- (787) 390-9090
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 13,964 | PR | |
| Gastroenterology Physician | 207RG0100X | 15,987 | PR | Primary |
Addresses
Primary practice location
93 Paseo Herradura
Trujillo Alto, PR 00976-6068
Mailing address
93 Paseo Herradura
Trujillo Alto, PR 00976-6068
Phone (787) 390-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
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.
-
- Clinical Cardiac Electrophysiology Physician
- San Juan, PR
- NPI 1033213368
-
- Pain Medicine (Anesthesiology) Physician
- Arecibo, PR
- NPI 1982141438
-
- Surgery Physician
- San Juan, PR
- NPI 1386929149
-
- Gastroenterology Physician
- Manati, PR
- NPI 1407142227
-
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1770762585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238630400000",
"number": "1497997555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 PASEO HERRADURA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766068",
"telephone_number": "787-390-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 PASEO HERRADURA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766068",
"telephone_number": "787-390-9090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY AND CARDIAC ARRHYTHMIA SERVICE PSC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-02",
"last_updated": "2009-04-02",
"status": "A",
"authorized_official_last_name": "MONTANO",
"authorized_official_first_name": "LUARDE",
"authorized_official_middle_name": "ISAAC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-390-9090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "PR",
"license": "13,964",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PR",
"license": "15,987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.