SRS Gastro LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SRS GASTRO LLC

Practice address

Torre del Metropolitano #1789 Carr. 21
Suite 210
San Juan, PR 00921

Phone

(787) 999-8948

NPI assigned

Jun 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sulimar Rodriguez-Santiago, MDNPI 1982905329

Title

President

Phone

(787) 999-8948

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Metro Gastroenterology Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Metro Gastroenterology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• SRS Gastro LLC

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1699344234
  NPD tax ID

Practitioners 1

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

• Sulimar Rodriguez-Santiago, M.D.

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1982905329
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623542400000",
    "number": "1689242091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CALLE JUAN C BORBON STE 67-667",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE DEL METROPOLITANO #1789 CARR. 21",
            "address_2": "SUITE 210",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-999-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRS GASTRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-SANTIAGO",
        "authorized_official_first_name": "SULIMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-999-8948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982905329",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gastroenterology Physician in San Juan, PR
• Providers in San Juan, 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 Jun 13, 2021; 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.