Organization Active NPI

Cotto Laurel Gastroenterology Consultants PSC

  • Gastroenterology Physician
  • Cotto Laurel, PR
National Provider Identifier
1871732990
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
16380 Issued in PR
Legal business name
COTTO LAUREL GASTROENTEROLOGY CONSULTANTS PSC
Practice address
Torre Hospital San Cristobal
Suite 307
Cotto Laurel, PR 00780
Phone
(787) 283-0804
Fax
(787) 761-5764
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Dr. Harry Rodriguez McDougall, MDNPI 1609839588
Title
President
Phone
(787) 283-0804

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 16380 PR Primary

Addresses

Primary practice location

Torre Hospital San Cristobal
Suite 307
Cotto Laurel, PR 00780

Mailing address

PO Box 801210
Coto Laurel, PR 00780-1210
Phone (787) 283-0804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170209000408 PR Part B Supplier - Clinic/Group Practice 0042593436 Receives reassigned benefits from 1 practitioner
Practice locations: Coto Laurel, PR

National Provider Directory

National Provider Directory

Locations

101 Torre San Cristobal
Ponce, PR 00780
Phone (787) 841-9922

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": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1871732990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801210",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801210",
            "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": "TORRE HOSPITAL SAN CRISTOBAL",
            "address_2": "SUITE 307",
            "city": "COTTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-283-0804",
            "fax_number": "787-761-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTO LAUREL GASTROENTEROLOGY CONSULTANTS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ MCDOUGALL",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-283-0804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "16380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cotto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.