Organization Active NPI

Gastroenterology and Therapeutic Endoscopy Center PSC

  • Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1831165265
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12535 Issued in PR
Legal business name
GASTROENTEROLOGY AND THERAPEUTIC ENDOSCOPY CENTER PSC
Practice address
29 Calle Washington
Ashford Medical Center Suite 202
San Juan, PR 00907-1510
Phone
(787) 977-5012
Fax
(787) 977-5062
NPI assigned
Feb 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Dr. Hector M Perez Arroyo, M.D.NPI 1043218480
Title
President
Phone
(787) 977-5012

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 12535 PR Primary

Addresses

Primary practice location

29 Calle Washington
Ashford Medical Center Suite 202
San Juan, PR 00907-1510

Mailing address

29 Calle Washington
Ashford Medical Center Suite 202
San Juan, PR 00907-1510
Phone (787) 977-5012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131122001112 PR Part B Supplier - Clinic/Group Practice 5092941922 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

29 Calle Washington
Ste 202
San Juan, PR 00907
Phone (787) 977-5011

Practitioners & affiliated clinicians

Practitioners 2

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": "1140825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1831165265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON",
            "address_2": "ASHFORD MEDICAL CENTER SUITE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-977-5012",
            "fax_number": "787-977-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON",
            "address_2": "ASHFORD MEDICAL CENTER SUITE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-977-5012",
            "fax_number": "787-977-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND THERAPEUTIC ENDOSCOPY CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-25",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ ARROYO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-977-5012",
        "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": "12535",
            "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 Nov 20, 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.