Gastroenterologia Avanzada del Caribe,C.S.P.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

12853 Issued in PR

Legal business name

GASTROENTEROLOGIA AVANZADA DEL CARIBE,C.S.P.

Practice address

55 East de Diego Street, C.P.R. Prof. BLDG.
Suite 104
Mayaguez, PR 00680

Phone

(787) 265-4250

Fax

(787) 265-4290

NPI assigned

Jul 7, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Ana Maria Lopez

Title

Administrator

Phone

(787) 265-4250

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Francisco Carlos Cebollero, M.D.

  • Gastroenterology Physician
  • Mayaguez, PR
  • NPI 1073674271
  Medicare reassignment NPD

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1760645105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3146",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813146",
            "telephone_number": "787-265-4250",
            "fax_number": "787-265-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 EAST DE DIEGO STREET, C.P.R. PROF. BLDG.",
            "address_2": "SUITE 104",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-265-4250",
            "fax_number": "787-265-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGIA AVANZADA DEL CARIBE,C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-265-4250",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "12853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE & TRIPLE S",
            "identifier": "0089618",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivian Charlotte Garcia, M.D.
• Wilbur Sammy Garcia
• Garnell Medical Equipment Corp
• Luis Javier Garrastegui- Vazquez, MD
• Gastro Nova, LLC
• Gastrowest PSC
• Raquel Isahi Gaud
• Idarnis Gaztambide, D.M.D., M.S.
• GBR Medical Group LLC
• Genesis Anesthesia Services, PSC

• Gastroenterology Physician in Mayaguez, PR
• Providers in Mayaguez, 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 Mar 19, 2013; 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.