Active NPI
Puerto Rico Gastro Care P.S.C.
- Gastroenterology Physician
- Manati, PR
National Provider Identifier
1508641606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- PUERTO RICO GASTRO CARE P.S.C.
- Practice address
- Carr. 2 KM 47.7
Manati, PR 00674 - Phone
- (787) 854-3322
- NPI assigned
- Aug 28, 2023
- Last updated
- Aug 28, 2023
- 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. Jose A Hernandez Roman, MD
- Title
- President
- Phone
- (787) 552-9440
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | NU | Primary |
Addresses
Primary practice location
Carr. 2 KM 47.7
Manati, PR 00674
Mailing address
89 Calle Kennedy
Toa Alta, PR 00953-3627
Phone (787) 552-9440
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 1
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": "1693180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693180800000",
"number": "1508641606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 CALLE KENNEDY",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009533627",
"telephone_number": "787-552-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 2 KM 47.7",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-854-3322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUERTO RICO GASTRO CARE P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "HERNANDEZ ROMAN",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-552-9440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
- Professional Hospital, Inc
- Professional Nutrition by Lcda. Daina Vega Miranda LLC
- Promed Center LLC
- Puerto Rico Clinical Reference Laboratory (Doctors Reference Laboratory)
- Puerto Rico Concierge & Internal Medicine Services
- Puerto Rico Gastroenterology LLC
- Puerto Rico Lung Institute LLC
- Puerto Rico Neurosurgery & Spine, LLC
- Quality Pharmacy Inc
- Nelson Quinones
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.