# INSTITUTO DE ENDOSCOPIA DIGESTIVA DEL SUR

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

## Provider details

- **NPI number:** 1144252198
- **Authorized official:** DR. LUIS MARTINEZ-SIERRA MD (PRESIDENT)
- **Authorized official phone:** (787) 848-5897

## Contact information

- **Practice address:** 450 C/FERROCARRIL, STE. 216, SANTA MARIA MEDICAL, PONCE, PR 00717-1105
- **Practice address phone:** (787) 848-5897
- **Practice address fax:** (787) 284-4197
- **Mailing address:** 450 C/FERROCARRIL, STE. 216, SANTA MARIA MEDICAL, PONCE, PR 00717-1105
- **Mailing address phone:** (787) 848-5897
- **Mailing address fax:** (787) 284-4197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 4589 | PR | Yes |
| 207RG0100X | Gastroenterology Physician | 6905 | PR | — |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 08/22/2020