Organization Active NPI

Gastrocorp & Assoc., PSC

  • Gastroenterology Physician
  • Caguas, PR
National Provider Identifier
1720115249
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
11831 Issued in PR
Legal business name
GASTROCORP & ASSOC., PSC
Practice address
A7 Ave Degetau
Urb Bonneville Terrace
Caguas, PR 00725
Phone
(787) 258-3245
Fax
(787) 761-5764
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Harry R Ruiz Figueroa, MDNPI 1942203427
Title
Midco
Phone
(787) 258-3245

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 11831 PR Primary

Addresses

Primary practice location

A7 Ave Degetau
Urb Bonneville Terrace
Caguas, PR 00725

Mailing address

PO Box 8008
Caguas, PR 00726-8008
Phone (787) 258-3245

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090717000243 PR Part B Supplier - Clinic/Group Practice 0143372458 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1720115249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8008",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268008",
            "telephone_number": "787-258-3245",
            "fax_number": "787-744-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A7 AVE DEGETAU",
            "address_2": "URB BONNEVILLE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-258-3245",
            "fax_number": "787-761-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROCORP & ASSOC., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RUIZ FIGUEROA",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MIDCO",
        "authorized_official_telephone_number": "787-258-3245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "11831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.