# MANATI GASTROINTESTINAL OFFICE PSC

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

## Provider details

- **NPI number:** 1215124680
- **Authorized official:** DR. WILSON ORTIZ COTTI MD (PRESIDENT)
- **Authorized official phone:** (787) 884-2426

## Contact information

- **Practice address:** CARR. \# 2 KM. 47.7, HOSPITAL DOCTOR'S CENTER, TORRE ANTIGUA, OFICINA \#404, MANATI, PR 00674-5507
- **Practice address phone:** (787) 884-2426
- **Practice address fax:** (787) 854-8005
- **Mailing address:** PO BOX 411, MANATI, PR 00674-0411
- **Mailing address phone:** (787) 884-2426
- **Mailing address fax:** (787) 854-8005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 7736 | PR | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 07/01/2015
