Active NPI
Gastroenterology (Digestive) and Nutrition Center, PSC
- Specialist
- Bayamon, PR
National Provider Identifier
1780854901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12414
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryNPI 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.