Caguas Gastroenterology, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

17026 Issued in PR

Legal business name

CAGUAS GASTROENTEROLOGY, LLC

Practice address

Hima Plaza 1
Suite 703 Luis Munoz Marin
Caguas, PR 00725-7301

Phone

(787) 363-3311

Fax

(787) 961-6869

NPI assigned

Apr 22, 2015

Last updated

Apr 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Miguel De Varona, MD

Title

President

Phone

(787) 363-3311

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Miguel A De Varona Negron, M.D.

  • Gastroenterology Physician
  • Caguas, PR
  • NPI 1235331943
  Medicare reassignment NPD

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1932596491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIMA PLAZA 1",
            "address_2": "SUITE 703 LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257301",
            "telephone_number": "787-363-3311",
            "fax_number": "787-961-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA PLAZA 1",
            "address_2": "SUITE 703 LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257301",
            "telephone_number": "787-363-3311",
            "fax_number": "787-961-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAGUAS GASTROENTEROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "DE VARONA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-363-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "PR",
            "license": "17026",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "17026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caguas Cardio Center CSP
• Caguas Cardio Imaging Group
• Caguas Cardio Imaging Group, PSC
• Caguas Dental Gallery LLC
• Caguas Dental Gallery LLC
• Caguas Orthopedic Center Inc
• Caguas Parcial
• Caguas Podiatry
• Caguas Primary Care LLC
• Caguas Primary Care LLC

• Medical Specialty Clinic/Center in Caguas, PR
• Providers in Caguas, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.