Ew Gastro C.S.P

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

17848 Issued in PR

Legal business name

EW GASTRO C.S.P

Practice address

Urb Cautiva, 3 Almacigos
Caguas, PR 00727
UM

Phone

(787) 214-9163

Fax

(787) 761-5764

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Emanuel Warrington Colon, M.DNPI 1629262456

Title

President

Phone

(787) 214-9163

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emanuel Warrington-Colon, M.D.

  • Gastroenterology Physician
  • Caguas, PR
  • NPI 1629262456
  Medicare reassignment NPD Authorized official
• Walisbeth Class-Vazquez

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1518302652

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1952845018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LF 1 CALLE 32",
            "address_2": "URB VILLA DEL REY 5TA SECCION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-214-9163",
            "fax_number": "787-761-5764"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "URB CAUTIVA, 3 ALMACIGOS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-214-9163",
            "fax_number": "787-761-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EW GASTRO C.S.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "WARRINGTON COLON",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-214-9163",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "17848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROF. MEDICAL LIC",
            "identifier": "17848",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.