Organization Active NPI

MFP Gastroenterology, LLC

  • Gastroenterology Physician
  • Carolina, PR
National Provider Identifier
1952947087
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MFP GASTROENTEROLOGY, LLC
Practice address
Edificio Jesus T. Pineiro Ave Fernandez Juncos
Esq. Calle Molinillo, Bo. Pueblo
Carolina, PR 00986
Phone
(787) 237-9986
NPI assigned
Nov 25, 2019
Last updated
Nov 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Mr. Mervin Figueroa
Title
Director
Phone
(787) 447-6137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

Edificio Jesus T. Pineiro Ave Fernandez Juncos
Esq. Calle Molinillo, Bo. Pueblo
Carolina, PR 00986

Mailing address

PO Box 37085
San Juan, PR 00937-0085

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Carolina

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210607000502 PR Part B Supplier - Clinic/Group Practice 9739589128 Receives reassigned benefits from 1 practitioner
Practice locations: Carolina, PR

National Provider Directory

National Provider Directory

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": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1952947087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37085",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009370085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO JESUS T. PINEIRO AVE FERNANDEZ JUNCOS",
            "address_2": "ESQ. CALLE MOLINILLO, BO. PUEBLO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00986",
            "telephone_number": "787-237-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFP GASTROENTEROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "MERVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-447-6137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Carolina",
            "affiliation": "N",
            "address_1": "Edificio Jesus T. Pineiro Ave Fernandez Juncos",
            "address_2": "Esq. Calle Molinillo, Bo. Pueblo",
            "city": "carolina",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.