NPIMap

Organization Active NPI

Instituto de Gastroenterologia de PR

  • Endoscopy Clinic/Center
  • San Juan, PR
National Provider Identifier
1629063151
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
155 Issued in PR
Legal business name
INSTITUTO DE GASTROENTEROLOGIA DE PR
Practice address
400 Ave FD Roosevelt
Clinica Las Americas Suite 206
San Juan, PR 00918-2103
Phone
(787) 764-8787
Fax
(787) 250-1029
NPI assigned
Sep 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Dr. Fernando Ramos, M.D.
Title
Managing Partner
Phone
(787) 764-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 155 PR Primary

Addresses

Primary practice location

400 Ave FD Roosevelt
Clinica Las Americas Suite 206
San Juan, PR 00918-2103

Mailing address

400 Ave FD Roosevelt
Clinica Las Americas Suite 206
San Juan, PR 00918-2103
Phone (787) 764-8787

Other names 1

  • Instituto de Gastroenterologia de PR Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701001164 PR Part B Supplier - Ambulatory Surgical Center 4284611096 Practice locations: San Juan, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Instituto de Gastroenterologia de PRCCN 40C0001011
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Inst Gastroentde P R3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 Ave Franklin D Roosevelt
Ste 206
San Juan, PR 00918
Phone (787) 764-8787

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1629063151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "CLINICA LAS AMERICAS SUITE 206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-764-8787",
            "fax_number": "787-250-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "CLINICA LAS AMERICAS SUITE 206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-764-8787",
            "fax_number": "787-250-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO DE GASTROENTEROLOGIA DE PR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "787-764-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "PR",
            "license": "155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Instituto de Gastroenterologia de PR",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.