St Croix Gastroenterology Center LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1117 Issued in VI

Legal business name

ST CROIX GASTROENTEROLOGY CENTER LLC

Practice address

61 Herman Hill
St Croix, VI 00820-5720

Phone

(340) 719-6300

Fax

(340) 719-6301

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Brenda Liz Vazquez

Title

Office Administrator

Phone

(340) 692-1301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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.

• Raymond Cintron, MD

  • Gastroenterology Physician
  • St Croix, VI
  • NPI 1841233533
  Medicare reassignment Care Compare group NPD
• Jozette C. Matthews, FNP-BC

  • Family Nurse Practitioner
  • Frederiksted, VI
  • NPI 1427188010
  Medicare reassignment Care Compare group NPD
• Tina Bruefach, PA

  • Medical Physician Assistant
  • Ocoee, FL
  • NPI 1033221411

  VI

  Medicare reassignment Care Compare group NPD
• Nakia Shantel Francis, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Suffolk, VA
  • NPI 1578089397

  Single Specialty, VI

  Medicare reassignment NPD
• Carlos Damian Santiago, PA-C, DMO

  • Physician Assistant
  • Green Cove Springs, FL
  • NPI 1497718290

  VI

  Medicare reassignment

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1992983902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5632",
            "city": "ST CROIX",
            "state": "VI",
            "postal_code": "008235632",
            "telephone_number": "340-719-6300",
            "fax_number": "340-719-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 HERMAN HILL",
            "city": "ST CROIX",
            "state": "VI",
            "postal_code": "008205720",
            "telephone_number": "340-719-6300",
            "fax_number": "340-719-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CROIX GASTROENTEROLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LIZ",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "340-692-1301"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VI",
            "license": "1117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dora A Rullan, RPH
• Megan Russell, RPH, PHARM. D.
• San Juan Vamc
• San Juan Vamc
• Sea View Healthcare Services, Inc.
• St. Thomas Radiology Associates, LLC (St. Croix MRI/CT)
• Taino Wholelife Healthcare, LLC
• Jurene Walcott, RPH
• Walter J M Pedersen Jr MD PC
• Robert Williamson, RPH

• Specialist in St Croix, VI
• Providers in St Croix, VI by specialty
• Specialist in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.