Organization Active NPI

Gastro Centro PCS

  • Endoscopy Clinic/Center
  • San Juan, PR
National Provider Identifier
1740624329
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
GASTRO CENTRO PCS
Practice address
Torre del Metropolitano 1789 Suite 209 Carr. 21
San Juan, PR 00921
Phone
(787) 793-2462
Fax
(787) 774-1615
NPI assigned
Apr 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Dr. Melvin Melendez, M.D.NPI 1164531059
Title
President
Phone
(787) 793-2462

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
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

Torre del Metropolitano 1789 Suite 209 Carr. 21
San Juan, PR 00921

Mailing address

Torre del Metropolitano 1789 Suite 209 Carr. 21
San Juan, PR 00921
Phone (787) 793-2462

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140408000051 PR Part B Supplier - Clinic/Group Practice 0648402511 Receives reassigned benefits from 3 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

1789 Carr 21
Ste 209
San Juan, PR 00921
Phone (787) 793-2462

Practitioners & affiliated clinicians

Practitioners 3

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": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1740624329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TORRE DEL METROPOLITANO 1789 SUITE 209 CARR. 21",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-793-2462",
            "fax_number": "787-774-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE DEL METROPOLITANO 1789 SUITE 209 CARR. 21",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-793-2462",
            "fax_number": "787-774-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO CENTRO PCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-793-2462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.