Active NPI
Advanced Gastroenterology Center, PSC
- Endoscopy Clinic/Center
- Aguada, PR
National Provider Identifier
1689003576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- License
- 17586
- Legal business name
- ADVANCED GASTROENTEROLOGY CENTER, PSC
- Practice address
- Carr 115 KM 24.1
Aguada, PR 00602 - Phone
- (787) 679-8144
- NPI assigned
- Nov 1, 2013
- Last updated
- Nov 24, 2015
- 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. Hiram D. Ortega, MD, JD
- Title
- Gastroenterologist
- Phone
- (787) 529-1699
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 |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | 17586 | PR | Primary |
Addresses
Primary practice location
Carr 115 KM 24.1
Aguada, PR 00602
Mailing address
PO Box 1443
Aguada, PR 00602-1443
Phone (787) 679-8144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Gastroenterology Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Endoscopy Clinic/Center
- Aguada, PR
- NPI 1407289473
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.
-
- Gastroenterology Physician
- Aguadilla, PR
- NPI 1184828295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448323200000",
"number": "1689003576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1443",
"city": "AGUADA",
"state": "PR",
"postal_code": "006021443",
"telephone_number": "787-679-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 115 KM 24.1",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-679-8144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED GASTROENTEROLOGY CENTER, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-01",
"last_updated": "2015-11-24",
"status": "A",
"authorized_official_last_name": "ORTEGA",
"authorized_official_first_name": "HIRAM",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "GASTROENTEROLOGIST",
"authorized_official_telephone_number": "787-529-1699",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, JD"
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": "PR",
"license": "17586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.