Active NPI
Centro de Gastroenterologia Pediatrica del Oeste
- Pediatric Gastroenterology Physician
- Mayaguez, PR
National Provider Identifier
1972651693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 10620
- Legal business name
- CENTRO DE GASTROENTEROLOGIA PEDIATRICA DEL OESTE
- Practice address
- 55 Calle Dr Basora N
Office 212
Mayaguez, PR 00680-4810 - Phone
- (787) 805-5830
- Fax
- (787) 805-6430
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria J Rodriguez
- Title
- Administrator
- Phone
- (787) 805-6868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 10620 | PR | Primary |
Addresses
Primary practice location
55 Calle Dr Basora N
Office 212
Mayaguez, PR 00680-4810
Mailing address
PO Box 3224
Mayaguez, PR 00681-3224
Phone (787) 805-5830
National Provider Directory
National Provider DirectoryLocations
55 Calle Dr Basora N
Ste 212
Mayaguez, PR 00680
Phone (787) 805-5830
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Gastroenterology Physician
- Mayaguez, PR
- NPI 1518962406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339459200000",
"number": "1972651693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3224",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006813224",
"telephone_number": "787-805-5830",
"fax_number": "787-805-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CALLE DR BASORA N",
"address_2": "OFFICE 212",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804810",
"telephone_number": "787-805-5830",
"fax_number": "787-805-6430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRO DE GASTROENTEROLOGIA PEDIATRICA DEL OESTE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2012-06-12",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-805-6868"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "PR",
"license": "10620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
- Laura Emilia Cedo Cintron, MD, FACOG
- Centro Cirugia Ambulatoria Hospital San Antonio
- Centro de Cirugia Refractiva del Oeste
- Centro de Diagnostico Y Tratamiento de San Sebastian Inc
- Centro de Endoscopia Avanzada del Caribe Inc.
- Centro de Litotripcia del Oeste Inc.
- Centro de Medicina Primaria Y Alterna de Mayaguez
- Centro de Servicios Neurologicos de Mayaguez, CSP
- Centro de Terapia Muscular LLC
- Centro Educativo Y Terapeutico del Oeste Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.