Advanced Gi Solutions LLC

Organization Active NPI Gastroenterology Physician · Arecibo, PR

NPI 1982203980 · NPPES record last updated Dec 2, 2020

Key facts

NPI
1982203980
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
ADVANCED GI SOLUTIONS LLC
Practice address
Metropolitan Office Building Bo Pueblo Calle Jose de Di
Arecibo, PR 00612
Phone
(787) 312-4640
Fax
(787) 881-5742
NPI assigned
Oct 21, 2020
Organization subpart
No

Authorized official

Name
Mrs. Nancy Quiles
Title
Adminstradora
Phone
(787) 214-0751

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210408000265 PR Part B Supplier - Clinic/Group Practice 6002229259 Receives reassigned benefits from 1 practitioner
Practice locations: Arecibo, PR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RG0100X Yes

Addresses

Primary practice location

Metropolitan Office Building Bo Pueblo Calle Jose de Di
Arecibo, PR 00612

Mailing address

PO Box 506
Dorado, PR 00646-0506
Phone (787) 312-4640

Other names

  • ADVANCED GI SOLUTIONS LLC Former legal business name

Electronic endpoints

TypeEndpointUseAffiliation
Other URL ARECIBO Direct

Other providers in Arecibo, PR

All providers in Arecibo, PR · Gastroenterology Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.