Organization Active NPI

Centro de Gastroenterologia Pediatrica del Oeste

  • Pediatric Gastroenterology Physician
  • Mayaguez, PR
National Provider Identifier
1972651693
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
10620 Issued in PR
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

Updated by the provider on Jun 12, 2012

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)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.