Organization Active NPI

Puerto Rico Gastroenterology LLC

  • Multi-Specialty Clinic/Center
  • Manati, PR
National Provider Identifier
1679279764
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PUERTO RICO GASTROENTEROLOGY LLC
Practice address
200 Calle Hernandez Carrion, Suite 512
MMC Professional Plaza
Manati, PR 00674-0067
Phone
(787) 621-2633
NPI assigned
Feb 1, 2023
Last updated
Apr 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Fray Arroyo-Mercado, MDNPI 1114471489
Title
Co-Owner
Phone
(787) 621-2633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

200 Calle Hernandez Carrion, Suite 512
MMC Professional Plaza
Manati, PR 00674-0067

Mailing address

MMC Professional Plaza
200 Calle Hernandez Carrion, Suite 512
Manati, PR 00674
Phone (787) 621-2633

National Provider Directory

National Provider Directory

Practitioners & 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": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1679279764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MMC PROFESSIONAL PLAZA",
            "address_2": "200 CALLE HERNANDEZ CARRION, SUITE 512",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CALLE HERNANDEZ CARRION, SUITE 512",
            "address_2": "MMC PROFESSIONAL PLAZA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740067",
            "telephone_number": "787-621-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-04-05",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "ARROYO-MERCADO",
        "authorized_official_first_name": "FRAY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "787-621-2633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.