NPIMap

Organization Active NPI

Eg Peds Gastro

  • Pediatric Gastroenterology Physician
  • Bayamon, PR
National Provider Identifier
1700500063
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
Legal business name
EG PEDS GASTRO
Practice address
Bayamon Medical Plaza
PR Women'S and Children'S Hospital Carr 2 KM 11.7
Bayamon, PR 00959
Phone
(787) 466-8762
NPI assigned
Sep 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Esthermari Gonzalez Polanco, MDNPI 1083060255
Title
President
Phone
(787) 407-7569

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)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0206X Primary

Addresses

Primary practice location

Bayamon Medical Plaza
PR Women'S and Children'S Hospital Carr 2 KM 11.7
Bayamon, PR 00959

Mailing address

PO Box 193307
San Juan, PR 00919-3307
Phone (787) 466-8762

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.

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1700500063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193307",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193307",
            "telephone_number": "787-466-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA",
            "address_2": "PR WOMEN'S AND CHILDREN'S HOSPITAL CARR 2 KM 11.7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-466-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EG PEDS GASTRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ POLANCO",
        "authorized_official_first_name": "ESTHERMARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-407-7569",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.