San Patricio Gastroenterology, PSC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

14704 Issued in PR

Legal business name

SAN PATRICIO GASTROENTEROLOGY, PSC

Practice address

101 San Patricio Ave.
Suite 1050 Maramar Plaza
Guaynabo, PR 00966-2715

Phone

(787) 946-5220

Fax

(787) 946-5220

NPI assigned

Jul 12, 2010

Last updated

Apr 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Federico Gonzalez

Title

Administrator

Phone

(787) 283-0804

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Federico J Gregory-Gonzalez, M.D.

  • Internal Medicine Physician
  • Guaynabo, PR
  • NPI 1376675843
  Medicare reassignment

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1588976161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SAN PATRICIO AVE.",
            "address_2": "SUITE 1050 MARAMAR PLAZA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662715",
            "telephone_number": "787-946-5220",
            "fax_number": "787-946-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAN PATRICIO AVE.",
            "address_2": "SUITE 1050 MARAMAR PLAZA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662715",
            "telephone_number": "787-946-5220",
            "fax_number": "787-946-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PATRICIO GASTROENTEROLOGY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-283-0804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "14704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yarid Sambolin
• Anuar Sammy Odeh, DMD
• San Juan Capestrano Hospital, Inc.
• San Juan City Hospital
• San Patricio Dental, LLC
• San Patricio MRI & CT Center, P.S.C. (San Patricio Medflix)
• San Patricio Nuclear Medicine, PSC
• San Patricio Physical Rehabilitation Center PSC
• San Pedro Pharmacy Corp
• San Pedro Pharmacy, 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 Apr 14, 2015; 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.