# J.R.A.GASTROENTEROLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093197683
- **Authorized official:** JOSE E. RIVERA-ACOSTA M.D. (PRESIDENT)
- **Authorized official phone:** (787) 598-1555

## Contact information

- **Practice address:** AVE. PONCE DE LEON \#735, TORRE MEDICA AUXILIO MUTUO SUITE \#816, SAN JUAN, PR 00917
- **Practice address phone:** (787) 765-1025
- **Mailing address:** 138 AVE WINSTON CHURCHILL, PMB 357, SAN JUAN, PR 00926-6013
- **Mailing address phone:** (787) 763-1020
- **Mailing address fax:** (787) 250-1928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 17183 | PR | Yes |
| 207RT0003X | Transplant Hepatology Physician | 17183 | PR | — |

## Other

- **Enumeration date:** 06/19/2015
- **Last updated:** 06/19/2015