Organization Active NPI

Clinica de Gastroenterologia

  • Gastroenterology Physician
  • Bayamon, PR
National Provider Identifier
1811023252
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
13568 Issued in PR
Legal business name
CLINICA DE GASTROENTEROLOGIA
Practice address
#73 Santa Cruz St. Ste 215
Santa Cruz Medical Building
Bayamon, PR 00961-6910
Phone
(787) 283-0804
Fax
(787) 761-5764
NPI assigned
Feb 27, 2007
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Walter E Janer-Martinez, M.D.NPI 1134122625
Title
President
Phone
(787) 779-6666

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 13568 PR Primary

Addresses

Primary practice location

#73 Santa Cruz St. Ste 215
Santa Cruz Medical Building
Bayamon, PR 00961-6910

Mailing address

PO Box 1132
Trujillo Alto, PR 00977-1132
Phone (787) 283-0804

National Provider Directory

National Provider Directory

Locations

73 Calle Santa Cruz
Ste 215
Bayamon, PR 00961
Phone (787) 778-6666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1811023252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771132",
            "telephone_number": "787-283-0804",
            "fax_number": "787-761-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#73 SANTA CRUZ ST. STE 215",
            "address_2": "SANTA CRUZ MEDICAL BUILDING",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616910",
            "telephone_number": "787-283-0804",
            "fax_number": "787-761-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE GASTROENTEROLOGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "JANER-MARTINEZ",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-779-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "13568",
            "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 Oct 19, 2007; 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.