Organization Active NPI

Gastroenterology (Digestive) and Nutrition Center, PSC

  • Specialist
  • Bayamon, PR
National Provider Identifier
1780854901
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12414 Issued in PR
Legal business name
GASTROENTEROLOGY (DIGESTIVE) AND NUTRITION CENTER, PSC
Practice address
Sta. Cruz St. #73 Edificio Medico Santa Cruz
Suite 403
Bayamon, PR 00961
Phone
(787) 786-3110
Fax
(787) 786-3120
NPI assigned
Mar 4, 2008
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Marcia R Cruz-Correa, MD, PHD
Title
President
Phone
(787) 786-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 12414 PR Primary

Addresses

Primary practice location

Sta. Cruz St. #73 Edificio Medico Santa Cruz
Suite 403
Bayamon, PR 00961

Mailing address

Sta. Cruz St. #73 Edificio Medico Santa Cruz
Suite 403
Bayamon, PR 00961
Phone (787) 786-3110

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1780854901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STA. CRUZ ST. #73 EDIFICIO MEDICO SANTA CRUZ",
            "address_2": "SUITE 403",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-786-3110",
            "fax_number": "787-786-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STA. CRUZ ST. #73 EDIFICIO MEDICO SANTA CRUZ",
            "address_2": "SUITE 403",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-786-3110",
            "fax_number": "787-786-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY (DIGESTIVE) AND NUTRITION CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "CRUZ-CORREA",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-786-3110",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "12414",
            "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 Jan 12, 2009; 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.