Organization Active NPI

Gastro Services PSC

  • Gastroenterology Physician
  • Aguadilla, PR
National Provider Identifier
1932548518
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10425 Issued in PR
Legal business name
GASTRO SERVICES PSC
Practice address
23 Ave Severiano Cuevas
Aguadilla, PR 00603-5713
Phone
(787) 882-2929
Fax
(787) 819-0130
NPI assigned
Jun 18, 2013
Last updated
Jun 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dr. Waldo Santiago, M.D.
Title
President
Phone
(787) 882-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 10425 PR Primary

Addresses

Primary practice location

23 Ave Severiano Cuevas
Aguadilla, PR 00603-5713

Mailing address

PO Box 633
Cabo Rojo, PR 00623-0633
Phone (787) 882-2929

National Provider Directory

National Provider Directory

Locations

23 Ave Severiano Cuevas
Aguadilla, PR 00603
Phone (787) 882-2929

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": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1932548518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230633",
            "telephone_number": "787-882-2929",
            "fax_number": "787-819-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 AVE SEVERIANO CUEVAS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035713",
            "telephone_number": "787-882-2929",
            "fax_number": "787-819-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "WALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-882-2929",
        "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": "10425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.